Smith, Stephanie G
Smith, Stephanie G is an individual health care provider with primary practice located at 1600 Sw Archer Rd Room G901, Gainesville FL 32610-3003. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Smith, Stephanie G can be contacted via phone (352) 265-0294.Contact Information
Primary practice address
1600 Sw Archer Rd Room G901
Gainesville FL 32610-3003
Phone: (352) 265-0294
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY9550 | Florida |
| Behavioral Health & Social Service Providers / Health | 103TH0004X | PY9550 | Florida |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY9550 | Florida |
Profile Details
| NPI number | 1821449125 |
|---|---|
| LBN Legal business name | Smith, Stephanie G |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2016 |
| Last updated | Feb 7th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821449125 | NPPES |
| Florida | MEDICAID | 019064900 |
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