Individual
PATRICIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2840 NW 2ND AVE STE 104, BOCA RATON, FL 33431-6692
(800) 233-5976
Mailing address
157 FLAMINGO RD, EDGEWATER, FL 32141-7206
(843) 592-0770
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
166502
SC
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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