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Organization

KAILA SMITH PSY D PSYCHOLOGIST INC

Active
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Organization

KAILA SMITH PSY D PSYCHOLOGIST INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAILA SMITH PSY D PSYCHOLOGIST (PRESIDENT)
(619) 880-0193
Entity
Organization

Contact information

Practice address
4080 CENTRE ST STE 202, SAN DIEGO, CA 92103-2657
(619) 880-0193
(619) 860-1264
Mailing address
4080 CENTRE ST STE 202, SAN DIEGO, CA 92103-2657
(619) 880-0193
(619) 860-1264

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY31578
STATE LICENSE
CA
Enumeration date
01/13/2020
Last updated
01/13/2020
About Stedi
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