Individual
DR. JUDITH ANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3402 W LAKE RD, ERIE, PA 16505-3612
(814) 449-5749
Mailing address
3210 HIDDEN LN, ERIE, PA 16506-1534
(814) 449-5749
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS004546L
PA
Other
Enumeration date
01/13/2007
Last updated
07/29/2008
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