Individual
JENNIFER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
447 N EL MOLINO AVE, PASADENA, CA 91101-1403
(626) 577-8480
Mailing address
447 N EL MOLINO AVE, PASADENA, CA 91101-1403
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/05/2023
Last updated
10/24/2023
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