| Doctor Name: | ROBERTA M SMALLS |
| NPI Number: | 1104847227 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.W. |
| License Number: | CW013133 |
| Business Practice Address: | 523 Sarah St Stroudsburg, PA - 183602118 |
| Business Phone Number: | 5706206911 |
| Business Fax Number: | 7143331817 |
| Mailing Address: | 22 White Heron Lk, EAST STROUDSBURG |
| State: | PA |
| Postal Code: | 183028936 |
| Phone Number: | 5706206911 |
| Fax Number: | 7143331817 |
| NPI Enumeration Date: | 07/22/2006 |
| NPI Last Update Date: | 02/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CW013133 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |