Individual
DR. CHARLES EDWARD SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3400 LINCOLN AVE, EVANSVILLE, IN 47714-0147
(812) 469-6800
Mailing address
3400 LINCOLN AVE, EVANSVILLE, IN 47714-0146
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040012A
IN
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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