Individual
AMY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1700 EDUCATION AVE, PUNTA GORDA, FL 33950-6222
(941) 661-7730
Mailing address
1555 ALBATROSS DR, PUNTA GORDA, FL 33950-8260
(510) 931-9291
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
11069
FL
103TC0700X
Clinical Psychologist
28280
CA
Other
Enumeration date
07/14/2010
Last updated
12/08/2022
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