Individual
DR. ELIZABETH JESSICA SMYTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
111 SMITHTOWN BYP STE 224, HAUPPAUGE, NY 11788-2512
(631) 528-5880
(631) 528-5382
Mailing address
111 SMITHTOWN BYP STE 224, HAUPPAUGE, NY 11788-2512
(631) 528-5880
(631) 528-5382
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
021682
NY
103TC0700X
Clinical Psychologist
37202
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740631563
OUT-OF-NETWORK PROVIDER
NY
Enumeration date
06/22/2016
Last updated
04/06/2020
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