Jeffrey Alan Smith in Winston Salem - Psychologist
Jeffrey Alan Smith - NPI 1659306488
Jeffrey Alan Smith is a Psychologist in Winston Salem, North Carolina. Jeffrey Alan Smith practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jeffrey Alan Smith is 1659306488. The last update date is 2007-07-08.
Jeffrey Alan Smith's current location address is 3455 Polo Rd, Winston Salem, North Carolina. You can contact this provider via phone number 3363541171 and fax number 3367681860. The mailing address for Jeffrey Alan Smith is 3455 Polo Rd, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Alan Smith |
|---|---|
| Address | 3455 Polo Rd, Winston Salem, North Carolina |
| Phone Number | 3363541171 |
| Fax Number | 3367681860 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1659306488 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3455 Polo Rd |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271064828 |
| Phone Number | 3363541171 |
| Fax Number | 3367681860 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1486 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0444F | NC | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Jeffrey Alan Smith by the Centers for Medicare & Medicaid Services (CMS)?
The Jeffrey Alan Smith has been assigned the NPI (National Provider Identifier) 1659306488. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jeffrey Alan Smith's facilities are situated?
The facilities of Jeffrey Alan Smith are physically located at the following address: 3455 Polo Rd, Winston Salem, NC, 271064828.
What is Jeffrey Alan Smith's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey Alan Smith's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Jeffrey Alan Smith receive the assignment of its 1659306488 from the Centers for Medicare & Medicaid Services?
The Jeffrey Alan Smith was issued its 1659306488 by the Centers for Medicare & Medicaid Services on 2006-07-11.
As of what date was the information regarding Jeffrey Alan Smith, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeffrey Alan Smith, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.