| Michelle B Smith Psyd Inc | |
|
11911 San Vicente Blvd Suite 270 Los Angeles CA 90049-5086 | |
| (310) 663-6638 | |
| Not Available |
| Full Name | Michelle B Smith Psyd Inc |
|---|---|
| Speciality | Psychologist |
| Location | 11911 San Vicente Blvd, Los Angeles, California |
| Authorized Official Name and Position | Michelle S. Bilotta-smith (OWNER) |
| Authorized Official Contact | 3106636638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle B Smith Psyd Inc 11911 San Vicente Blvd Suite 270 Los Angeles CA 90049-5086 Ph: (310) 663-6638 | Michelle B Smith Psyd Inc 11911 San Vicente Blvd Suite 270 Los Angeles CA 90049-5086 Ph: (310) 663-6638 |
| NPI Number | 1629335054 |
|---|---|
| Provider Enumeration Date | 04/23/2012 |
| Last Update Date | 04/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629335054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY 24756 (California) | Primary |
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