Charlene Smith

NPI 1609369743 · on the registry since 2018 · sole proprietor

Practice

Address: 358 Stiles Ave
Orange Park, FL 32073
Phone: (904) 264-8311
Fax: (904) 264-8377
Organisation at this address: Psychological Services Of Jacksonville Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-11-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida