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Contact Information

MARY J SMITH, SCHOOL PSYCHOLOGIST
1200 MICHIGAN ST. SOCORRO HIGH SCHOOL
SOCORRO, NM87801
 Phone: 575-838-3112
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARY J SMITH · (Female)

NPI # 1841804473
Status Active
Credentials SCHOOL PSYCHOLOGIST
Entity Individual
Enumeration date 09/01/2020
Last updated 10/26/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 400521
  • NM Medicaid 400521
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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