Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PY 7361 | FL |
Y | 103T00000X | Psychologist | PY 7361 | FL |
NPI | 1003032343 |
---|---|
Provider Name | Dr. Cara Leann Smith |
First Address | Lake Clarke Shores, FL 33406-8414 |
Second Address | West Palm Beach, FL 33401-6725 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 08/07/2007 |