Individual
DR. LA TOYA BIANCA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
331 GAMBRILLS RD STE 4B, GAMBRILLS, MD 21054-1141
(410) 989-3558
(443) 926-5998
Mailing address
2657G ANNAPOLIS RD # 124, HANOVER, MD 21076-1262
(410) 989-3558
(443) 926-5998
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
05744
MD
Other
Enumeration date
02/06/2017
Last updated
09/11/2023
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