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Individual

DR. BRENDA X MEJIA-SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
635 W 165TH ST, 4TH & 6TH FLOOR, NEW YORK, NY 10032-3724
(212) 305-4814
Mailing address
635 W. 165TH STREET, NYPH-EI-6TH FLOOR, NEW YORK, NY 10032
(212) 305-4814

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
019746
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/05/2010
Last updated
12/05/2012
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