| Deborah S Smith Psyd Llc | |
|
310 Chris Gaupp Dr Suite 105 Galloway NJ 08205-4461 | |
| (609) 652-4040 | |
| (609) 652-5340 |
| Full Name | Deborah S Smith Psyd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 310 Chris Gaupp Dr, Galloway, New Jersey |
| Authorized Official Name and Position | Deborah S Smith (PSYCHOLOGIST) |
| Authorized Official Contact | 6096524040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah S Smith Psyd Llc 310 Chris Gaupp Dr Suite 105 Galloway NJ 08205-4461 Ph: (609) 652-4040 | Deborah S Smith Psyd Llc 310 Chris Gaupp Dr Suite 105 Galloway NJ 08205-4461 Ph: (609) 652-4040 |
| NPI Number | 1114316825 |
|---|---|
| Provider Enumeration Date | 01/19/2015 |
| Last Update Date | 01/19/2015 |
| Medicare PECOS PAC ID | 9931427606 |
|---|---|
| Medicare Enrollment ID | O20150408001774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114316825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 35S100389500 (New Jersey) | Primary |
| Provider Name | Deborah S. Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255425344 PECOS PAC ID: 3173579455 Enrollment ID: I20110505000137 |
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