| Doctor Name: | DR. RICHARD M SMITH |
| NPI Number: | 1063558609 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 5148 |
| Business Practice Address: | 202 Cornelia Street Ste C Plattsburgh, NY - 12901 |
| Business Phone Number: | 5185631911 |
| Business Fax Number: | 5185636640 |
| Mailing Address: | 202 Cornelia Street, Ste C PLATTSBURGH |
| State: | NY |
| Postal Code: | 12901 |
| Phone Number: | 5185631911 |
| Fax Number: | 5185636640 |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 5148 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |