Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DEREK JAMES SMITH, PH.D.
ActiveDR. DEREK JAMES SMITH, PH.D. is a Psychologist healthcare provider located in HARRISON, Idaho. NPI 1144671884 is currently active in the NPPES registry. Verify at CMS.
Psychologist · HARRISON, ID
Registration Details
- NPI Number
- 1144671884
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2016 (10.138127886375 yrs)
- Last Updated
- May 4, 2021
- Licenses
-
PSY-203364 (ID)11022713-2501 (UT)
Practice Information
- Address
-
2853 E BENT TREE LNHARRISON, ID, 838338674Browse ID providers · Browse ZIP 83833
- Phone
- 2087557393
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.