Individual
DR. SIMONE ANITA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(310) 836-1223
Mailing address
5320 9TH AVE, LOS ANGELES, CA 90043-4859
(323) 445-3074
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
CA
103TC2200X
Clinical Child & Adolescent Psychologist
2013042
CA
103TE1100X
Exercise & Sports Psychologist
2013042
CA
103TH0004X
Health Psychologist
Primary
2013042
CA
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
07/06/2012
Last updated
04/29/2022
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