Doctor Name: | MRS. BRENDA R SMITH |
NPI Number: | 1336491414 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCMH, NCC |
License Number: | PC-0000597 |
Business Practice Address: | 17596 Davis Rd Georgetown, DE - 199474427 |
Business Phone Number: | 3025692519 |
Business Fax Number: | |
Mailing Address: | 17596 Davis Rd, GEORGETOWN |
State: | DE |
Postal Code: | 199474427 |
Phone Number: | 3025692519 |
Fax Number: | |
NPI Enumeration Date: | 10/12/2012 |
NPI Last Update Date: | 10/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | PC-0000597 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |