Doctor Name: | MARGARET SMITH |
NPI Number: | 1003856626 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | PY00001404 |
Business Practice Address: | 955 Officers Row Vancouver, WA - 986613849 |
Business Phone Number: | 3602137893 |
Business Fax Number: | |
Mailing Address: | 955 Officers Row, VANCOUVER |
State: | WA |
Postal Code: | 986613849 |
Phone Number: | 3602137893 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 05/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | PY00001404 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |