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Peter Smith Psyd Llc
Prescribing (Medical) Psychologist in Santa Teresa, New Mexico
NPI 1073210316

Peter Smith Psyd Llc is a Prescribing (Medical) Psychologist based in South Portland, NM and is specialized in Prescribing (Medical). Peter Smith Psyd Llc practices in Santa Teresa, NM. The NPI Number for Peter Smith Psyd Llc is 1073210316 and holds a License No. (New Mexico).

The current practice location address for Peter Smith Psyd Llc is 101 Livingston Loop Ste 1, Santa Teresa, NM and can be reached out via phone at 505-506-2546 and via fax at 575-201-7070.

Location: 101 Livingston Loop Ste 1, Santa Teresa, NM, 04106-1607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073210316
Provider Name
Peter Smith Psyd Llc
Credential
Provider Entity Type
Organization
Address
101 Livingston Loop Ste 1, Santa Teresa, NM, 04106-1607
Phone Number
505-506-2546
Fax Number
575-201-7070
Provider Enumeration Date
02/07/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22639560 05 NM
institution
Provider Business Practice Location Address Details
Address
101 Livingston Loop Ste 1
City
Santa Teresa
State
New Mexico
Zip
88008-9753
Phone Number
505-506-2546
Fax Number
575-201-7070
person
Provider Business Mailing Address Details
Address
101 Livingston Loop Ste 1
City
Santa Teresa
State
New Mexico
Zip
88008-9753
Phone Number
505-506-2546
Fax Number
575-201-7070
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
()
Definition
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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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