Individual
DANIELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1156 HIGH ST, SANTA CRUZ, CA 95064-1077
(318) 459-2628
Mailing address
1156 HIGH ST, SANTA CRUZ, CA 95064-1099
(831) 459-2628
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
31308
CA
Other
Enumeration date
02/24/2020
Last updated
06/23/2022
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