Dr Timothy Smith, PHD in Rome, GA - Psychologist

Dr Timothy Smith, PHD is a Psychologist - Group Psychotherapy based in Rome, Georgia. Dr Timothy Smith is licensed to practice in Georgia (license number PSY002634) and his current practice location is 413 E 2nd St, Rome, Georgia. He can be reached at his office (for appointments etc.) via phone at (706) 291-2288.

NPI number for Dr Timothy Smith is 1629120340 and his current mailing address is Po Box 1692, Woodstock, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629120340.

Contact Information

	Dr Timothy Smith, PHD
	413 E 2nd St, Rome, GA 30161-3109
	(706) 291-2288
	Not Available

Healthcare Provider's Profile

Full Name	Dr Timothy Smith
Gender	Male
Speciality	Psychologist - Group Psychotherapy
Location	413 E 2nd St, Rome, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1629120340
Provider Enumeration Date: 01/16/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Timothy Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629120340	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY002634 (Georgia)	Primary
103TB0200X	Psychologist - Cognitive & Behavioral	PSY002634 (Georgia)	Primary
103TC0700X	Psychologist - Clinical	PSY002634 (Georgia)	Primary
103TC1900X	Psychologist - Counseling	PSY002634 (Georgia)	Primary
103TP2701X	Psychologist - Group Psychotherapy	PSY002634 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Timothy Smith is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Timothy Smith, PHD Po Box 1692, Woodstock, GA 30188-1366 Ph: (706) 291-2288	Dr Timothy Smith, PHD 413 E 2nd St, Rome, GA 30161-3109 Ph: (706) 291-2288

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Dr Timothy Smith, PHD - Psychologist in Rome, GA