MEDICARE: ELIZABETH AMELIA SMITH PSYD

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
1	103TC0700X	Clinical Psychologist	31358	CA

General Provider Information

NPI Number	:	1497260020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH AMELIA SMITH PSYD

Provider Business Mailing Address
First Line	:	PO BOX 16164
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92176-6164
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3737 MORAGA AVE STE A203
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-5491
Country	:	US
Telephone Number	:	619-363-1920
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2017
Last Update Date	:	09/07/2020

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1639363526 — KENDRA PENSKI LCSW
Practice Location Address:

3737 MORAGA AVE STE A203
SAN DIEGO, CA
92117-5491

Practice Phone: 619-363-1920
Practice Fax: 619-363-4623

1093188427 — JENIFER KRISTEN LUDWIG MS, LMFT
Practice Location Address:

3737 MORAGA AVE STE A203
SAN DIEGO, CA
92117-5491

Practice Phone: 619-363-1920
Practice Fax: 619-363-4326

1043295678 — DR. JEROME NEREZ RAGADIO D.D.S.
Practice Location Address:

3538 BOUGAINVILLE RD
SAN DIEGO, CA
92155-5491

Practice Phone: 619-437-2954
Practice Fax: 619-437-5658

1013994672 — BEIHUA LU
Practice Location Address:

3538 BOUGAINVILLE RD
SAN DIEGO, CA
92155-5491

Practice Phone: 619-437-2954
Practice Fax:

1184830572 — JEFFREY OLIVER HUBREL
Practice Location Address:

2680 WODEN ST , USCGC HAMILTON
SAN DIEGO, CA
92136-5491

Practice Phone: 619-559-6560
Practice Fax:

Directions to “ ELIZABETH AMELIA SMITH PSYD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.