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Individual

ELIZABETH AMELIA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
3737 MORAGA AVE STE A203, SAN DIEGO, CA 92117-5491
(619) 363-1920
Mailing address
PO BOX 16164, SAN DIEGO, CA 92176-6164

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31358
CA

Other

Enumeration date
12/05/2017
Last updated
09/07/2020
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