| Christopher Smith Psy.d., Llc. | |
|
175 River Oaks Cir Sanford FL 32771-9321 | |
| (407) 923-4814 | |
| Not Available |
| Full Name | Christopher Smith Psy.d., Llc. |
|---|---|
| Speciality | Psychologist |
| Location | 175 River Oaks Cir, Sanford, Florida |
| Authorized Official Name and Position | Christopher Smith (PSYCHOLOGIST) |
| Authorized Official Contact | 4079234814 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Smith Psy.d., Llc. 175 River Oaks Cir Sanford FL 32771-9321 Ph: (407) 923-4814 | Christopher Smith Psy.d., Llc. 175 River Oaks Cir Sanford FL 32771-9321 Ph: (407) 923-4814 |
| NPI Number | 1598040594 |
|---|---|
| Provider Enumeration Date | 10/21/2011 |
| Last Update Date | 10/28/2014 |
| Medicare PECOS PAC ID | 7719108158 |
|---|---|
| Medicare Enrollment ID | O20141028000952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598040594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY8387 (Florida) | Primary |
| Provider Name | Christopher Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417272121 PECOS PAC ID: 0345403481 Enrollment ID: I20120529000520 |
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