Amelia Smith, Psyd., LLC.
Psychologist, Clinical in Bend, OR. Organization (NPI-2).
NPI number1992350987
StatusActive
Last updated in NPPESSep 5, 2019
Details
- NPI
- 1992350987
- Entity type
- Organization (NPI-2)
- Legal business name
- Amelia Smith, Psyd., LLC.
- Organization subpart
- No
- Enumeration date
- Aug 6, 2019
- Last updated
- Sep 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Other names
- Downtown Psychological Services (Other Name)
Practice location
1345 Nw Wall St Ste 303Bend, OR 97703-1970
Phone 541-819-0706
Mailing address
1345 Nw Wall St Ste 303Bend, OR 97703-1970
Phone 541-819-0706
Authorized official
Amelia Anne Smith
Licensed Psychologist
5418190706
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