Individual
DR. EMILY ROSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5630 VENICE BLVD PMB 6110, LOS ANGELES, CA 90019
(254) 715-5236
Mailing address
5630 VENICE BLVD PMB 6110, LOS ANGELES, CA 90019
(254) 715-5236
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY11424
FL
Other
Enumeration date
05/10/2022
Last updated
03/01/2023
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