DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMUEL C SMITH, PHD

Active

SAMUEL C SMITH, PHD is a Psychologist healthcare provider located in FORT ATKINSON, Wisconsin. NPI 1720002744 is currently active in the NPPES registry. Verify at CMS.

Psychologist · FORT ATKINSON, WI

Registration Details

NPI Number
1720002744
Provider Type
Individual
Gender
Male
NPI Issued
Jul 26, 2006 (20.010271700087 yrs)
Last Updated
Jul 8, 2007
License
528-056 (WI)

Practice Information

Address
509 MCMILLEN ST
FORT ATKINSON, WI, 535381263
Browse WI providers · Browse ZIP 53538
Phone
9205637995
Fax
9205686047
Primary Specialty
Psychologist
103T00000X

Other Psychologist Providers in FORT ATKINSON, WI

Name Credential NPI
NICHOLAS J BISENIUS PHD 1619998747
DR. JILL MALLIN PHD, LP 1184248593
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.