| Doctor Name: | DR. DOUGLAS KENT SMITH |
| NPI Number: | 1376528703 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | PSY8353 |
| Business Practice Address: | 433 Alisal Rd Suite G Solvang, CA - 934633717 |
| Business Phone Number: | 8056880408 |
| Business Fax Number: | 8056887712 |
| Mailing Address: | 433 Alisal Rd, Suite G SOLVANG |
| State: | CA |
| Postal Code: | 934633717 |
| Phone Number: | 8056880408 |
| Fax Number: | 8056887712 |
| NPI Enumeration Date: | 12/08/2005 |
| NPI Last Update Date: | 10/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY8353 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |