Individual
DR. MICHELLE LYNNETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY9100
FL
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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