Provider Demographics
NPI:1073173068
Name:SMERLING, MARINA JAE (MA IN MFT)
Entity Type:Individual
Prefix:
First Name:MARINA
Middle Name:JAE
Last Name:SMERLING
Suffix:
Gender:F
Credentials:MA IN MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 NW 27TH CT STE E
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-6500
Mailing Address - Country:US
Mailing Address - Phone:510-504-2436
Mailing Address - Fax:
Practice Address - Street 1:5000 NW 27TH CT STE E
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-6500
Practice Address - Country:US
Practice Address - Phone:510-504-2436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-20
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMT3140106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist