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Dr. Peter Norman Smith, PSYD
Prescribing (Medical) Psychologist in Santa Teresa, New Mexico
NPI 1508061169

Peter Norman Smith is a Prescribing (Medical) Psychologist based in South Portland, NM and is specialized in Prescribing (Medical). Peter Norman Smith practices in Santa Teresa, NM and has the professional credentials of PSYD. The NPI Number for Peter Norman Smith is 1508061169 and holds a License No. 1290 (New Mexico).

The current practice location address for Peter Norman Smith 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
person
Provider Profile Details
NPI Number
1508061169
Provider Name
Peter Norman Smith
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
101 Livingston Loop Ste 1, Santa Teresa, NM, 04106-1607
Phone Number
505-506-2546
Fax Number
575-201-7070
Provider Enumeration Date
06/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4320 01 AZ BCIA-C
612352100 01 AZ DOL FECA
22639560 05 NM
E-1463 01 AZ BCIAC-EEG
1290 01 NM NM PSYCHOLOGIST
PSY-RXP0053 01 NM STATE OF NEW MEXICO BOARD OF PSYCHOLOGIST EXAMINERS
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
Clinical
Taxonomy
103TC0700X
License No.
0039C (New Mexico)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
1290 (New Mexico)
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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