Individual
PROF. SALLYANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
9337 HEATHFIELD WAY, SACRAMENTO, CA 95829-6081
(916) 688-8790
Mailing address
9337 HEATHFIELD WAY, SACRAMENTO, CA 95829-6081
(916) 688-8790
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 31372
CA
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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