Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | 4120 | GA |
Y | 103G00000X | Clinical Psychologist | 4120 | GA |
Y | 103TC0700X | Clinical Psychologist | 4120 | GA |
N | 103TH0004X | Health Psychologist | 4120 | GA |
NPI | 1275033300 |
---|---|
Provider Name | Dr. Sarah Francis Smith |
First Address | Atlanta, GA 30312-3607 |
Second Address | Decatur, GA 30033-4004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2018 |
Last Update Date | 15/02/2018 |