Individual
DR. SAMANTHA JADE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1200 NE 55TH BLVD, GAINESVILLE, FL 32641
(561) 386-4231
Mailing address
PO BOX 358343, GAINESVILLE, FL 32635-8343
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9680
FL
Other
Enumeration date
12/22/2016
Last updated
09/23/2019
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