| Doctor Name: | DR. PETER NORMAN SMITH |
| NPI Number: | 1508061169 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSYD |
| License Number: | 1290 |
| Business Practice Address: | 103 Livingston Loop, Bldg B, Suite 4 Santa Teresa, NM - 880089747 |
| Business Phone Number: | 5758249000 |
| Business Fax Number: | 8662329241 |
| Mailing Address: | 2820 Pierce Ave, Unit B EL PASO |
| State: | TX |
| Postal Code: | 799304234 |
| Phone Number: | 5202719673 |
| Fax Number: | |
| NPI Enumeration Date: | 06/15/2007 |
| NPI Last Update Date: | 02/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1290 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |