Organization
JENNIFER SMITH, PSY.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER SMITH (OWNER/PSYCHOLOGIST)
(404) 808-0101
Entity
Organization
Contact information
Practice address
3308A NORTHCREST RD, ATLANTA, GA 30340-4012
(404) 808-0101
Mailing address
3308A NORTHCREST RD, ATLANTA, GA 30340-4012
(404) 808-0101
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
3053
GA
103TA0700X
Adult Development & Aging Psychologist
3053
GA
103TC0700X
Clinical Psychologist
Primary
3053
GA
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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