Individual
KELSEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 N EUCLID ST STE 300, ANAHEIM, CA 92801-5514
(714) 871-5646
Mailing address
505 N EUCLID ST STE 300, ANAHEIM, CA 92801-5514
(714) 871-5646
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
CA
Other
Enumeration date
09/20/2019
Last updated
08/30/2022
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