Doctor Name: | MELISSA K SMITH |
NPI Number: | 1023298874 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC, NCC, CM |
License Number: | 4747 |
Business Practice Address: | 122 E Eufaula St Norman, OK - 730696017 |
Business Phone Number: | 4054474499 |
Business Fax Number: | 4054474419 |
Mailing Address: | 1022 Clingmans Dome Rd, NORMAN |
State: | OK |
Postal Code: | 730696659 |
Phone Number: | 4053993499 |
Fax Number: | 2708379721 |
NPI Enumeration Date: | 11/09/2007 |
NPI Last Update Date: | 01/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 4747 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |