Individual
TAKIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4874
CA
103T00000X
Psychologist
4874
CA
103TB0200X
Cognitive & Behavioral Psychologist
4874
CA
103TF0000X
Family Psychologist
4874
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
4874
CA
103TS0200X
School Psychologist
Primary
4874
CA
Other
Enumeration date
08/13/2026
Last updated
08/13/2026
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