| Doctor Name: | MRS. MARY MAGDALENE SMITH |
| NPI Number: | 1003836743 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | 8385 |
| Business Practice Address: | 1229 E Pleasant Run Rd Ste 127 Desoto, TX - 751154211 |
| Business Phone Number: | 4695671553 |
| Business Fax Number: | 4695671558 |
| Mailing Address: | 1229 E Pleasant Run Rd Ste 127, DESOTO |
| State: | TX |
| Postal Code: | 751154211 |
| Phone Number: | 4695671553 |
| Fax Number: | 4695671558 |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 8385 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |