Individual
DR. SUZANNE MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
200 N MONROE ST, MEDIA, PA 19063-2908
(610) 772-1884
Mailing address
200 N MONROE ST, MEDIA, PA 19063-2908
(610) 772-1884
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS009216L
PA
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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