Organization · Type 2 NPI

Peter Smith Psyd LLC

Prescribing (Medical) Psychologist · Santa Teresa, NM

NPI number 1073210316 Active

Practice location

101 Livingston Loop Ste 1
Santa Teresa, NM 88008-9753

Fax (575) 201-7070

Mailing address

60 Beach St
South Portland, ME 04106-1607

Specialties and licenses

TaxonomyCodeLicense
Prescribing (Medical) Psychologist Primary 103TP0016XNone listed

Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

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About NPI 1073210316

Peter Smith Psyd LLC's National Provider Identifier is 1073210316, issued on Feb 7, 2023. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Santa Teresa, NM. The record was last updated on Mar 23, 2023.