Individual
DR. PAMELA LONGFELLOW SMITH
Active
Individual
DR. PAMELA LONGFELLOW SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003789
VA
103TC0700X
Clinical Psychologist
1000392
DC
103TC0700X
Clinical Psychologist
962
HI
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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