| Doctor Name: | KEVIN GERARD SMYTH |
| NPI Number: | 1376610964 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.ED, P.C.C |
| License Number: | E-0008310 |
| Business Practice Address: | 12788 New England Rd Amesville, OH - 457119327 |
| Business Phone Number: | 7404482228 |
| Business Fax Number: | |
| Mailing Address: | Po Box 44, AMESVILLE |
| State: | OH |
| Postal Code: | 457110044 |
| Phone Number: | 7404482228 |
| Fax Number: | |
| NPI Enumeration Date: | 11/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | E-0008310 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |