Leigh Ann Smith, L.P.C.
Individual provider Active NPI Psychoanalyst · Fort Worth, TX
NPI 1003119967 · NPPES record last updated Dec 15, 2010
Key facts
- NPI
- 1003119967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychoanalyst 102L00000X
- License
- 19230 (TX)
- Practice address
- 1810 8TH Ave
Box 16
Fort Worth, TX 76110-1352 - Phone
- (817) 926-1148
- NPI assigned
- Dec 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19230 | TX | MD | Psychoanalyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 19230 | TX | Yes |
Addresses
Primary practice location
1810 8TH Ave
Box 16
Fort Worth, TX 76110-1352
Mailing address
1810 8TH Ave
Box 16
Fort Worth, TX 76110-1352
Phone (817) 926-1148
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.