Individual
DR. JESSECA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
205 N MONROE ST, MEDIA, PA 19063-3052
(610) 551-8201
Mailing address
205 N MONROE ST, MEDIA, PA 19063-3052
(610) 761-9048
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
B1-0000703
DE
103TC0700X
Clinical Psychologist
Primary
PS015865
PA
Other
Enumeration date
06/28/2007
Last updated
09/27/2016
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