Organization
SMITH PSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA SMITH PH.D. (PRESIDENT)
(516) 729-6557
Entity
Organization
Contact information
Practice address
75 PLANDOME RD LOWR LEVEL, MANHASSET, NY 11030-2303
(516) 384-6642
Mailing address
75 PLANDOME RD LOWR LEVEL, MANHASSET, NY 11030-2303
(516) 384-6642
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568738680
—
NY
Enumeration date
06/18/2019
Last updated
07/23/2020
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