Individual
DR. MARY BEARDALL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2653 SW 87TH DR, SUITE A, GAINESVILLE, FL 32608-9313
(352) 331-0020
(352) 331-0022
Mailing address
2653 SW 87TH DR, SUITE A, GAINESVILLE, FL 32608-9313
(352) 331-0020
(352) 331-0022
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY8210
FL
Other
Enumeration date
01/15/2011
Last updated
02/17/2020
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