| Anne Smith Inc | |
|
6910 Rockview Lane Dallas TX 75214 | |
| (214) 789-7279 | |
| Not Available |
| Full Name | Anne Smith Inc |
|---|---|
| Speciality | Psychologist |
| Location | 6910 Rockview Lane, Dallas, Texas |
| Authorized Official Name and Position | Anne Smith (PSYCHOLOGIST) |
| Authorized Official Contact | 2147897279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anne Smith Inc 3737 Cole Ave #110 Dallas TX 75204-1591 Ph: (214) 789-7279 | Anne Smith Inc 6910 Rockview Lane Dallas TX 75214 Ph: (214) 789-7279 |
| NPI Number | 1790920056 |
|---|---|
| Provider Enumeration Date | 12/15/2008 |
| Last Update Date | 12/15/2008 |
| Medicare PECOS PAC ID | 6507923703 |
|---|---|
| Medicare Enrollment ID | O20090313000506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790920056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 31815 (Texas) | Primary |
| Provider Name | Anne E Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215159660 PECOS PAC ID: 5496823296 Enrollment ID: I20081007000286 |
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