Doctor Name: | MRS. DAWN RENEE SMITH |
NPI Number: | 1073717674 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PC |
License Number: | E0004297 |
Business Practice Address: | 4056 E State St Hermitage, PA - 161483403 |
Business Phone Number: | 7246998818 |
Business Fax Number: | |
Mailing Address: | 4056 E State St, HERMITAGE |
State: | PA |
Postal Code: | 161483403 |
Phone Number: | 7246998818 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | E0004297 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |