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Organization

JENNIFER SMITH PSYCHOLOGIST PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNIFER L SMITH PHD (CLINICAL PSYCHOLOGIST)
(917) 355-2031
Entity
Organization

Contact information

Practice address
12904 NEWPORT AVE, ROCKAWAY PARK, NY 11694-1617
(347) 523-5321
Mailing address
44 POINT BREEZE AVE, BREEZY POINT, NY 11697-1621
(917) 355-2031

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015747
NY

Other

Enumeration date
06/29/2017
Last updated
12/02/2022
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