| Doctor Name: | MRS. PENNY PARKS SMITH |
| NPI Number: | 1083632343 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | 0156 |
| Business Practice Address: | 303 West High St. Warsaw, KY - 410950933 |
| Business Phone Number: | 8595675507 |
| Business Fax Number: | 8595672393 |
| Mailing Address: | 303 West High St., P.o. Box 933 WARSAW |
| State: | KY |
| Postal Code: | 410950933 |
| Phone Number: | 8595676231 |
| Fax Number: | |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0156 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |