Whalio Doctors

NPI 1124684865

Ezra E Smith, PHD

Practitioner Clinical Neuropsychologist Tucson, AZ

Practice location

Address
2450 E River Rd, Tucson, AZ 85718-6526
Phone
(520) 795-7750

Registered specialties (3)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence PSY-005110 (AZ)
Psychologist
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence PSY-005110 (AZ)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY-005110 (AZ)

Registry record

NPI
1124684865
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 May 2019
Record last updated
31 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.