| Jeffrey T. Smith, Ph.d., P.a. | |
|
1905 Tyrone Blvd N St Petersburg FL 33710-4841 | |
| (727) 347-3284 | |
| (727) 347-4472 |
| Full Name | Jeffrey T. Smith, Ph.d., P.a. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1905 Tyrone Blvd N, St Petersburg, Florida |
| Authorized Official Name and Position | Jeffrey Thornton Smith (PRESIDENT) |
| Authorized Official Contact | 7273473284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey T. Smith, Ph.d., P.a. 1905 Tyrone Blvd N St Petersburg FL 33710-4841 Ph: (727) 347-3284 | Jeffrey T. Smith, Ph.d., P.a. 1905 Tyrone Blvd N St Petersburg FL 33710-4841 Ph: (727) 347-3284 |
| NPI Number | 1477854156 |
|---|---|
| Provider Enumeration Date | 11/10/2010 |
| Last Update Date | 11/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477854156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY4531 (Florida) | Primary |
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