Individual
MS. SUSAN ELAINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3716 NATIONAL DR, SUITE 124, RALEIGH, NC 27612-4068
(919) 783-8846
(919) 783-7305
Mailing address
112 SUNSHINE CREST CT, APEX, NC 27539-9734
(919) 363-4822
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1533
NC
Other
Enumeration date
09/29/2006
Last updated
06/30/2009
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