Samuel C Smith, PHD

NPI #1720002744 in Fort Atkinson, Wisconsin

Provider Information

NPI Number: 1720002744
Entity Type: Individual
Name: Samuel C Smith, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Jul 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 509 MCMILLEN ST
City: Fort Atkinson
State: Wisconsin
ZIP Code: 53538-1263
Phone: (920) 563-7995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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