Organization
KIMBERLY SMILEY, PSY.D., LLC
Active
Other names
Kimberly Smiley, Psy.D.
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SMILEY PSY.D. (PSYCHOLOGIST/OWNER)
(770) 953-4744
Entity
Organization
Contact information
Practice address
1827 POWERS FERRY ROAD, BUILDING 22, ATLANTA, GA 30339
(770) 953-4744
(770) 953-4640
Mailing address
1827 POWERS FERRY ROAD, BUILDING 22, ATLANTA, GA 30339
(770) 953-4744
(770) 953-4640
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002828
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501804875A
—
GA
Enumeration date
10/01/2014
Last updated
10/01/2014
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