Individual
DR. JILL AMY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
99 MAIN ST, SUITE 115, NYACK, NY 10960-3109
(646) 285-4562
Mailing address
716 SOMERSET ST, FRANKLIN LAKES, NJ 07417-1027
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
68 018413
NY
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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