Organization
SMITH PSYCHIATRY LLC
Active
Other names
Smith Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
MASON SMITH (CEO)
(602) 909-4701
Entity
Organization
Contact information
Practice address
12212 N PARADISE VILLAGE PKWY S APT 143, PHOENIX, AZ 85032-7647
(602) 800-4699
Mailing address
836 SOUTHAMPTON RD STE B115, BENICIA, CA 94510-1961
(602) 800-4699
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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