| Doctor Name: | MR. JOSH SMITH |
| NPI Number: | 1083014534 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 1544448 |
| Business Practice Address: | 300 Money St Gladewater, TX - 756472523 |
| Business Phone Number: | 8888773901 |
| Business Fax Number: | 8662242940 |
| Mailing Address: | 300 Money St, GLADEWATER |
| State: | TX |
| Postal Code: | 756472523 |
| Phone Number: | 8888773901 |
| Fax Number: | 8662242940 |
| NPI Enumeration Date: | 09/02/2014 |
| NPI Last Update Date: | 09/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 1544448 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |