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Rico Smith, MD
Prescribing (Medical) Psychologist in Macon, Mississippi
NPI 1447886502

Rico Smith is a Prescribing (Medical) Psychologist based in Macon, MS and is specialized in Prescribing (Medical). Rico Smith practices in Macon, MS and has the professional credentials of MD. The NPI Number for Rico Smith is 1447886502 and holds a License No. 2728292 (Mississippi).

The current practice location address for Rico Smith is 314 E Green St, Macon, MS and can be reached out via phone at 662-228-1435.

Location: 314 E Green St, Macon, MS, 39341-2850
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447886502
Provider Name
Rico Smith
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
314 E Green St, Macon, MS, 39341-2850
Phone Number
662-228-1435
Fax Number
Provider Enumeration Date
03/19/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
84-2217156 05 MS
institution
Provider Business Practice Location Address Details
Address
314 E Green St
City
Macon
State
Mississippi
Zip
39341-2850
Phone Number
662-228-1435
Fax Number
person
Provider Business Mailing Address Details
Address
314 E Green St
City
Macon
State
Mississippi
Zip
39341-2850
Phone Number
662-228-1435
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
2728292 (Mississippi)
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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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