Doctor Name: | CHERYL ANN SMYTH |
NPI Number: | 1265629364 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | |
Business Practice Address: | 105 Belview Rd Leesville, LA - 714462902 |
Business Phone Number: | 3372386431 |
Business Fax Number: | |
Mailing Address: | 105 Belview Rd, LEESVILLE |
State: | LA |
Postal Code: | 714462902 |
Phone Number: | 3372386431 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2007 |
NPI Last Update Date: | 10/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |