Individual
DR. DAVID A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, ABPP, HSPP
Contact information
Practice address
1251 N EDDY ST STE 200, SOUTH BEND, IN 46617-1478
(574) 307-9147
(574) 213-6884
Mailing address
403 E MADISON ST, SOUTH BEND, IN 46617-2322
(574) 283-1107
(574) 283-1131
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041287A
IN
Other
Enumeration date
01/28/2008
Last updated
12/04/2018
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