Organization
ROSELYN G SMITH PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSELYN G SMITH (MGRM)
(305) 804-5418
Entity
Organization
Contact information
Practice address
7685 SW 104TH ST, SUITE 100, MIAMI, FL 33156-3161
(305) 804-5418
(305) 662-4731
Mailing address
7685 SW 104TH ST, SUITE 100, MIAMI, FL 33156-3161
(305) 804-5418
(305) 662-4731
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY7219
FL
103TA0700X
Adult Development & Aging Psychologist
PY7219
FL
103TB0200X
Cognitive & Behavioral Psychologist
PY7219
FL
103TC0700X
Clinical Psychologist
Primary
PY7219
FL
103TF0000X
Family Psychologist
PY7219
FL
103TH0004X
Health Psychologist
PY7219
FL
103TH0100X
Health Service Psychologist
PY7219
FL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PY7219
FL
103TP2701X
Group Psychotherapy Psychologist
PY7219
FL
103TR0400X
Rehabilitation Psychologist
PY7219
FL
106H00000X
Marriage & Family Therapist
PY7219
FL
Other
Enumeration date
02/24/2007
Last updated
07/01/2014
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