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Individual

DR. TIFFANY K SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
535 N ALAMEDA ST, LOS ANGELES, CA 90012-3405
(213) 485-0439
(213) 253-9582
Mailing address
PO BOX 53531, LOS ANGELES, CA 90053-0531
(213) 485-0439

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY 20700
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY 20700
CA
103TF0200X
Forensic Psychologist
Primary
PSY20700
CA

Other

Enumeration date
03/12/2007
Last updated
10/29/2022
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