| Doctor Name: | DAVID GREGORY SMITH |
| NPI Number: | 1033458476 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA |
| License Number: | LH 60174437 |
| Business Practice Address: | 202 S Black Ave Suite 502 Bozeman, MT - 597156246 |
| Business Phone Number: | 4065962013 |
| Business Fax Number: | |
| Mailing Address: | 202 S Black Ave, Suite 502 BOZEMAN |
| State: | MT |
| Postal Code: | 597156246 |
| Phone Number: | 4065962013 |
| Fax Number: | |
| NPI Enumeration Date: | 02/05/2013 |
| NPI Last Update Date: | 02/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH 60174437 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |