Individual
DR. CARLA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
251 GEORGIA ST, VALLEJO, CA 94590-5905
(707) 534-6065
(707) 558-8196
Mailing address
251 GEORGIA ST, VALLEJO, CA 94590-5905
(707) 534-6065
(707) 558-8196
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
PSY25810
CA
103TF0200X
Forensic Psychologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2009
Last updated
08/22/2013
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