Doctor Name: | MRS. KATHY G. SMEDLEY |
NPI Number: | 1124013644 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC-S, LMFT, LSOTP, |
License Number: | 9706 |
Business Practice Address: | 917 W Broadway St Winnsboro, TX - 754942015 |
Business Phone Number: | 9039751575 |
Business Fax Number: | 9036297590 |
Mailing Address: | 917 W Broadway St, WINNSBORO |
State: | TX |
Postal Code: | 754942015 |
Phone Number: | 9039751575 |
Fax Number: | 9036297590 |
NPI Enumeration Date: | 09/12/2005 |
NPI Last Update Date: | 07/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 9706 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |