Individual
KLAYTON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
21633 AVENUE 24, CHOWCHILLA, CA 93610-9650
(559) 665-6100
Mailing address
4067 ALBRIGHT AVE, LOS ANGELES, CA 90066-5401
(310) 603-1050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103T00000X
Psychologist
Primary
26638
CA
103TC0700X
Clinical Psychologist
26638
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
09/15/2010
Last updated
04/26/2022
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