Individual
DR. ALICIA E SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
895 SIR FRANCIS DRAKE BLVD, SAN ANSELMO, CA 94960-1916
(415) 459-5206
(415) 459-5262
Mailing address
895 SIR FRANCIS DRAKE BLVD, SAN ANSELMO, CA 94960-1916
(415) 459-5206
(415) 459-5262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PSY 24516
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9357
CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER
—
Enumeration date
03/22/2007
Last updated
08/05/2016
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