Individual
RONALD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
13733 PLEASANT VALLEY DR, JACKSONVILLE, FL 32225-1914
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY10665
FL
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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