Wellformed AI

NPI 1992350987 · live from the CMS NPI Registry

Amelia Smith, Psyd., LLC.

Psychologist, Clinical in Bend, OR. National Provider Identifier 1992350987, active.

NPI record

NPI1992350987 Type 2 · organization
StatusActive
Primary specialtyPsychologist, Clinical 103TC0700X
Practice location1345 Nw Wall St Ste 303, Bend, OR 97703
Practice phone541-819-0706
EnumeratedAugust 6, 2019
Last updatedSeptember 5, 2019
Authorized officialAmelia Smith, Licensed Psychologist
Other namesDowntown Psychological Services

Taxonomies and licenses

TaxonomyCodeLicense
Psychologist, Clinical primary103TC0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.