| Roselyn G Smith Phd Llc | |
|
7685 Sw 104th St Suite 100 Miami FL 33156-3161 | |
| (305) 804-5418 | |
| (305) 662-4731 |
| Full Name | Roselyn G Smith Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7685 Sw 104th St, Miami, Florida |
| Authorized Official Name and Position | Roselyn G Smith (MGRM) |
| Authorized Official Contact | 3058045418 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roselyn G Smith Phd Llc 7685 Sw 104th St Suite 100 Miami FL 33156-3161 Ph: (305) 804-5418 | Roselyn G Smith Phd Llc 7685 Sw 104th St Suite 100 Miami FL 33156-3161 Ph: (305) 804-5418 |
| NPI Number | 1073649232 |
|---|---|
| Provider Enumeration Date | 02/24/2007 |
| Last Update Date | 07/01/2014 |
| Medicare PECOS PAC ID | 8426156217 |
|---|---|
| Medicare Enrollment ID | O20070601000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073649232 | NPI | - | NPPES |
| Provider Name | Roselyn G Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548328412 PECOS PAC ID: 4981701638 Enrollment ID: I20070515000323 |
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