Individual
DR. CARLENE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
950 BOARDWALK, SUITIE 304, SAN MARCOS, CA 92078-2600
(760) 809-3718
(760) 753-6446
Mailing address
950 BOARDWALK, SUITIE 304, SAN MARCOS, CA 92078-2600
(760) 809-3718
(760) 753-6446
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY13047
CA
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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