Organization
AUTHENTIC SELF PSYCHOTHERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASSET SMITH PSY.D. (LICENSED PSYCHOLOGIST)
(954) 445-2181
Entity
Organization
Contact information
Practice address
1920 PALM BEACH LAKES BLVD STE 206, WEST PALM BEACH, FL 33409-3506
(561) 207-7702
(561) 207-7702
Mailing address
1920 PALM BEACH LAKES BLVD STE 206, WEST PALM BEACH, FL 33409-3506
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PY9755
FL
Other
Enumeration date
08/11/2017
Last updated
06/16/2018
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