| Doctor Name: | ELIZABETH SMITH |
| NPI Number: | 1275936478 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 075151 |
| Business Practice Address: | 1500 E 10th St Atlantic, IA - 500221935 |
| Business Phone Number: | 7122432606 |
| Business Fax Number: | 7122432688 |
| Mailing Address: | 1500 E 10th St, ATLANTIC |
| State: | IA |
| Postal Code: | 500221935 |
| Phone Number: | 7122432606 |
| Fax Number: | 7122432688 |
| NPI Enumeration Date: | 10/01/2014 |
| NPI Last Update Date: | 10/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 075151 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |