Individual
DR. JENNIFER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
12904 NEWPORT AVE, ROCKAWAY PARK, NY 11694-1617
(347) 523-5321
Mailing address
44 POINT BREEZE AVE, BREEZY POINT, NY 11697-1621
(917) 355-2031
(973) 423-9580
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015747-1
NY
103TC0700X
Clinical Psychologist
35SI00528900
NJ
103TC0700X
Clinical Psychologist
SI1005289
NJ
Other
Enumeration date
01/07/2014
Last updated
12/02/2022
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