| Doctor Name: | PAMELA D SMITH |
| NPI Number: | 1033348503 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ED.D. |
| License Number: | C1298A |
| Business Practice Address: | 1611 Alabama Ave Jasper, AL - 355014719 |
| Business Phone Number: | 2052219232 |
| Business Fax Number: | 2052215512 |
| Mailing Address: | 1611 Alabama Ave, JASPER |
| State: | AL |
| Postal Code: | 355014719 |
| Phone Number: | 2052219232 |
| Fax Number: | 2052215512 |
| NPI Enumeration Date: | 07/06/2009 |
| NPI Last Update Date: | 07/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | C1298A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |