| Smith Psychological Services, Pllc | |
|
2640 E League City Pkwy Ste 104 League City TX 77573-3369 | |
| (409) 209-7511 | |
| Not Available |
| Full Name | Smith Psychological Services, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2640 E League City Pkwy Ste 104, League City, Texas |
| Authorized Official Name and Position | Brent Warren Smith (OWNER) |
| Authorized Official Contact | 4092097511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smith Psychological Services, Pllc 2640 E League City Pkwy Ste 104 Pmb 1050 League City TX 77573-3369 Ph: (409) 209-7511 | Smith Psychological Services, Pllc 2640 E League City Pkwy Ste 104 League City TX 77573-3369 Ph: (409) 209-7511 |
| NPI Number | 1891405106 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 05/05/2023 |
| Certification Date | 05/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891405106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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