Individual
DR. JENNIFER SMITH RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2960 SE SANTA ANITA ST., PORT ST. LUCIE, FL 34952
(203) 687-9007
Mailing address
2960 SE SANTA ANITA ST., PORT ST. LUCIE, FL 34952
(203) 687-9007
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
05973
MD
103T00000X
Psychologist
PS017845
PA
103TC0700X
Clinical Psychologist
002758
CT
103TC0700X
Clinical Psychologist
05973
MD
103TC0700X
Clinical Psychologist
12-031-PSY
VI
103TC0700X
Clinical Psychologist
PS017845
PA
Other
Enumeration date
01/25/2007
Last updated
05/25/2023
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