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Organization

FAMILY PSYCHOLOGY ASSOCIATES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL T SMITH PHD (OWNER)
(727) 725-8820
Entity
Organization

Contact information

Practice address
801 2ND ST N STE 7, SAFETY HARBOR, FL 34695-3503
(727) 725-8820
Mailing address
801 2ND ST N STE 7, SAFETY HARBOR, FL 34695-3503
(727) 725-8820

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TA0700X
Adult Development & Aging Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC1900X
Counseling Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
103TF0000X
Family Psychologist
Primary
103TP2701X
Group Psychotherapy Psychologist
1041C0700X
Clinical Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
229318
AMERIGROUP GROUP NUMBER
FL
01
99280
BCBS GROUP
FL
Enumeration date
01/30/2007
Last updated
03/07/2008
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