Provider Demographics
NPI:1629329784
Name:DR. RHAINA A SMEDS, PSYD INC.
Entity Type:Organization
Organization Name:DR. RHAINA A SMEDS, PSYD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:RHAINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SMEDS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:772-485-4008
Mailing Address - Street 1:100 AVENUE A STE 2D
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34950-4437
Mailing Address - Country:US
Mailing Address - Phone:772-485-4008
Mailing Address - Fax:
Practice Address - Street 1:100 AVE A
Practice Address - Street 2:STE 2D
Practice Address - City:FT. PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950
Practice Address - Country:US
Practice Address - Phone:772-485-4008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6704103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty