Smith, James T.

Smith, James T. is an sole proprietor health care provider with primary practice located at 1706 Wayne Memorial Dr , Goldsboro NC 27534-2240. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, James T. can be contacted via phone (919) 734-6676.

Contact Information

Primary practice address
1706 Wayne Memorial Dr Goldsboro NC 27534-2240
Fax: (919) 734-9050
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2448 North Carolina

Profile Details

NPI number 1316988959
LBN Legal business name Smith, James T.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Apr 3rd, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316988959 NPPES
North Carolina MEDICAID 6000644

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