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NPI Code Detail

MEDICARE: DR. YOLANDA ELAINE SMITH PH.D.

MEDICARE: DR. YOLANDA ELAINE SMITH PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorSW4510FL

General Provider Information

NPI Number : 1255409033
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YOLANDA ELAINE SMITH PH.D.
Provider Business Mailing Address
First Line : 4000 HOLLYWOOD BLVD STE 555S
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-6853
Country : US
Telephone Number : 954-873-9707
Fax Number : 561-423-0616
Provider Business Practice Location Address
First Line : 4000 HOLLYWOOD BLVD STE 555S
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-6853
Country : US
Telephone Number : 954-873-9707
Fax Number : 561-423-0616
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2006
Last Update Date : 05/11/2024

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