Individual
DR. SANDRA L. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7000 E GENESEE ST, BLDG.C, FAYETTEVILLE, NY 13066-1131
(315) 449-0851
(315) 449-0851
Mailing address
7000 E GENESEE ST, BLDG.C, FAYETTEVILLE, NY 13066-1131
(315) 449-0851
(315) 449-0851
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
005469-1
NY
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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