Smith, Andrew Roy

Smith, Andrew Roy is an individual health care provider with primary practice located at 7510 Shoreline Dr Ste A-5, Stockton CA 95219. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Smith, Andrew Roy can be contacted via phone (209) 477-1717.

Contact Information

Primary practice address
7510 Shoreline Dr Ste A-5 Stockton CA 95219
Phone: (209) 477-1717
Fax: (509) 477-1717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 15081 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY15081 California

Profile Details

NPI number 1225144967
LBN Legal business name Smith, Andrew Roy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Sep 29th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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