Individual
DR. STEPHANIE G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1600 SW ARCHER RD, ROOM G901, GAINESVILLE, FL 32610-3003
(352) 265-0294
Mailing address
1600 SW ARCHER RD, ROOM G901, GAINESVILLE, FL 32610-3003
(352) 265-0294
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY9550
FL
103TC0700X
Clinical Psychologist
PY9550
FL
103TH0004X
Health Psychologist
PY9550
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019064900
—
FL
Enumeration date
06/28/2016
Last updated
02/07/2017
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