Provider Demographics
NPI:1265551816
Name:SMITH, ROSALIND DEMETRIA (BS HUMAN SERVICES)
Entity type:Individual
Prefix:MRS
First Name:ROSALIND
Middle Name:DEMETRIA
Last Name:SMITH
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Gender:F
Credentials:BS HUMAN SERVICES
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Mailing Address - Street 1:3815 MARCONI AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-3867
Mailing Address - Country:US
Mailing Address - Phone:916-485-4175
Mailing Address - Fax:916-480-2241
Practice Address - Street 1:3815 MARCONI AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-3867
Practice Address - Country:US
Practice Address - Phone:916-485-4175
Practice Address - Fax:916-480-2241
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2012-01-12
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health