Individual
PRINCETON JAKOURTNEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1200 DELTONA BLVD, DELTONA, FL 32725-6306
(407) 716-4564
Mailing address
6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL 32827-7593
(321) 326-8616
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY11225
FL
Other
Enumeration date
08/30/2021
Last updated
02/21/2024
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