Smith, Carla

Smith, Carla is an sole proprietor health care provider with primary practice located at 251 Georgia St , Vallejo CA 94590-5905. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Forensic is her primary health care specialty. Smith, Carla can be contacted via phone (707) 534-6065.

Contact Information

Primary practice address
251 Georgia St Vallejo CA 94590-5905
Phone: (707) 534-6065
Fax: (707) 558-8196
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Forensic 103TF0200X
Behavioral Health & Social Service Providers / Forensic 103TF0200X PSY25810 California

Profile Details

NPI number 1982847059
LBN Legal business name Smith, Carla
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2009
Last updated Aug 22nd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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