Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 19230 | TX |
Y | 103T00000X | Psychologist | 19230 | TX |
NPI | 1003119967 |
---|---|
Provider Name | Ms. Leigh Ann Smith |
First Address | Fort Worth, TX 76110-1352 |
Second Address | Fort Worth, TX 76110-1352 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2010 |
Last Update Date | 15/12/2010 |