| Doctor Name: | MR. ROBERT LOUIS SMITH |
| NPI Number: | 1013154939 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 08932 |
| Business Practice Address: | 4200 Somerville Ct Laurel, MD - 207082480 |
| Business Phone Number: | 3012103468 |
| Business Fax Number: | 3012103478 |
| Mailing Address: | 4200 Somerville Ct, LAUREL |
| State: | MD |
| Postal Code: | 207082480 |
| Phone Number: | 3012103468 |
| Fax Number: | 3012103478 |
| NPI Enumeration Date: | 01/14/2009 |
| NPI Last Update Date: | 06/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 08932 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |