Individual
GLENN E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1600 SW ARCHER RD, #100165, GAINESVILLE, FL 32610-0165
(352) 273-6556
Mailing address
1600 SW ARCHER RD, #100165, GAINESVILLE, FL 32610-0165
(352) 273-6556
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY9386
FL
Other
Enumeration date
01/03/2006
Last updated
01/28/2016
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