Individual
DR. MONICA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
2235 DOUGLAS BLVD STE 500, ROSEVILLE, CA 95661-4266
(209) 786-2815
Mailing address
4719 QUAIL LAKES DR STE G216, STOCKTON, CA 95207-5267
(209) 786-2815
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY19737
CA
103TS0200X
School Psychologist
PSY19737
CA
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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