Individual
DR. CHARLES E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3670 STONE WAY N STE N271, SEATTLE, WA 98103-8004
(206) 834-4100
(206) 834-4131
Mailing address
PO BOX 84909, SEATTLE, WA 98124-6209
(206) 834-4100
(206) 834-4131
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PY0521
NV
103TC0700X
Clinical Psychologist
Primary
PY60190567
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2065529
—
WA
Enumeration date
05/30/2007
Last updated
03/26/2018
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