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Organization
MINDSMITH, A PSYCHOLOGICAL PROFESSIONAL CORPORATION
Active
Organization
MINDSMITH, A PSYCHOLOGICAL PROFESSIONAL CORPORATION
Active
Other names
Mindsmith
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER ANE MILLER PSYD (OWNER/PRESIDENT)
(619) 378-7076
Entity
Organization
Contact information
Practice address
2330 MAIN ST STE D, RAMONA, CA 92065-2539
(619) 376-7076
(619) 303-4270
Mailing address
5575 LAKE PARK WAY STE 100, LA MESA, CA 91942-1669
(619) 378-7076
(619) 303-4270
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY17908
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
586347
—
CA
Enumeration date
08/16/2018
Last updated
08/16/2018
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