Dr Ezra E Smith, PHD is a
Clinical Neuropsychologist based in Tucson, Arizona. Dr Ezra E Smith is licensed to practice in Arizona (license number PSY-005110) and his current practice location is
2450 E River Rd, Tucson, Arizona. He can be reached at his office (for appointments etc.) via phone at
(520) 795-7750.
NPI number for Dr Ezra E Smith is 1124684865 and his current mailing address is 2450 E River Rd, Tucson, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124684865.
Healthcare Provider's Profile
| Full Name | Dr Ezra E Smith |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Neuropsychologist |
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| Location | 2450 E River Rd, Tucson, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1124684865
- Provider Enumeration Date: 05/17/2019
- Last Update Date: 05/31/2019
Medical Identifiers
Medical identifiers for Dr Ezra E Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124684865 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PSY-005110 (Arizona) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY-005110 (Arizona) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY-005110 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ezra E Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ezra E Smith, PHD
2450 E River Rd,
Tucson, AZ 85718-6526
Ph: (631) 319-0151 | Dr Ezra E Smith, PHD
2450 E River Rd,
Tucson, AZ 85718-6526
Ph: (520) 795-7750 |
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