Individual
MS. MELISSA SUZANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. EDS, PPS
Contact information
Practice address
1000 LOW GAP RD, UKIAH, CA 95482-3737
(707) 472-5750
Mailing address
4860 SILK TREE LN, COOL, CA 95614-9481
(530) 401-2917
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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