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Contact Information

TIMOTHY D LE JACQ SMITH, PSY.D.
501 ANGELL ST
PROVIDENCE, RI02906-4467
 Phone: 401-243-4199
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TIMOTHY D LE JACQ SMITH · (Male)

NPI # 1295848091
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 08/16/2006
Last updated 02/05/2026 - About 4 months ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 8125
  • RI License # PS00764
  • RI Other 26545-2 BCBSRPROVIDER NUMBERI
  • RI Other 1034540 BEACON HEALTH ID NUMBER
  • RI Other 410489 BLUE CHIP RI PROVIDER ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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