Tracy P Smith Ma Licensed Psychologist Pllc

NPI #1043544471 in Elkview, West Virginia

Provider Information

NPI Number: 1043544471
Entity Type: Organization
Organization Name: Tracy P Smith Ma Licensed Psychologist Pllc
Primary Specialty: Psychologist
Enumeration Date: Oct 2, 2009
Last Updated: Jun 16, 2014

Practice Location

Address: 21 CHEROKEE TRL
City: Elkview
State: West Virginia
ZIP Code: 25071-9263
Phone: (304) 965-0372

Authorized Official

Name: MS. TRACY PAULEY SMITH, MA
Title: LICENSED PSYCHOLOGIST/OWNER
Phone: (304) 539-6222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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