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DR. ANYALIESE DOMINIQUE HANCOCK-SMITH PH.D.

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1508251794

Individual Registrant:
DR. ANYALIESE DOMINIQUE HANCOCK-SMITH PH.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
13900 TECH CITY CIR STE 408  ALACHUA, FL 32615-6090 US
Tel: 386-518-6006  Fax: 386-518-6024

Contact information for business:
PO BOX 305  ALACHUA, FL 32616-0305 US
Tel: 386-518-6006  Fax: 386-518-6024

Registration Information:
NPI: 1508251794
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
FLPY 9269
Y103TC2200XBehavioral Health & Social Service Providers
Psychologist
FLPY9269

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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