Individual
KELLY JEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2640 BRESLAUER WAY, REDDING, CA 96001-4246
(530) 225-5200
Mailing address
1170 INDUSTRIAL ST, REDDING, CA 96002-0734
(530) 722-9957
(530) 722-9294
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/19/2010
Last updated
09/12/2018
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