Individual
JENNA LYN GRESS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
12023 S 46TH ST, PHOENIX, AZ 85044-2463
(623) 252-3414
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
—
—
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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