NPI Search for Physicians and Health Care Providers
DR. ANYALIESE DOMINIQUE HANCOCK-SMITH PH.D.
Clinical >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant 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:
Primary | Code | Category/Description | State | License Number |
---|
N | 103TC0700X | Behavioral Health & Social Service Providers Psychologist Clinical | FL | PY 9269 |
Y | 103TC2200X | Behavioral Health & Social Service Providers Psychologist | FL | PY9269 |
Legacy codes, insurance codes and state license numbers:
HEALTH CARE JOBS FL - Page 1