Doctor Name: | MS. GERILYN ANN SMITH |
NPI Number: | 1285762757 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 37PC00297600 |
Business Practice Address: | 1289 Route 38 Suite 203 Hainesport, NJ - 080362730 |
Business Phone Number: | 6092675656 |
Business Fax Number: | 6092614051 |
Mailing Address: | 392 Regina Ave, HAMILTON |
State: | NJ |
Postal Code: | 086192231 |
Phone Number: | 6095049588 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00297600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |