Doctor Name: | DR. KEISHA SMITH |
NPI Number: | 1043513716 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | |
Business Practice Address: | 1601 Brenner Ave Salisbury, NC - 281442515 |
Business Phone Number: | 7046389000 |
Business Fax Number: | |
Mailing Address: | 9208 Graham Ridge Dr, CHARLOTTE |
State: | NC |
Postal Code: | 282625569 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/17/2010 |
NPI Last Update Date: | 03/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |