Doctor Name: | MS. LISA SMITH |
NPI Number: | 1053710111 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SPECIAL ED. TEACHER |
License Number: | |
Business Practice Address: | 315 Holland Ave Seneca, SC - 296783600 |
Business Phone Number: | 8648864400 |
Business Fax Number: | |
Mailing Address: | 414 S Pine St, WALHALLA |
State: | SC |
Postal Code: | 296912146 |
Phone Number: | 8648864400 |
Fax Number: | |
NPI Enumeration Date: | 08/14/2014 |
NPI Last Update Date: | 08/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |