Individual
STEPHANIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7451 WILES RD STE 103, CORAL SPRINGS, FL 33067-2040
(954) 340-0888
Mailing address
7451 WILES RD STE 103, CORAL SPRINGS, FL 33067-2040
(954) 340-0888
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY11226
FL
103TC0700X
Clinical Psychologist
PSY28195
CA
Other
Enumeration date
09/09/2016
Last updated
01/17/2023
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