Individual
JONATHAN DANIEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3535 MARKET ST STE 670, PHILADELPHIA, PA 19104-3309
(215) 898-1699
Mailing address
3535 MARKET ST STE 670, PHILADELPHIA, PA 19104-3309
(215) 898-1699
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017959
PA
Other
Enumeration date
04/15/2011
Last updated
12/18/2017
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