Individual
HEATHER LEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-8052
(718) 470-1905
Mailing address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-8011
(718) 470-6248
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
016437
NY
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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