| Doctor Name: | STEPHANIE SMITH |
| NPI Number: | 1376860965 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | |
| Business Practice Address: | 555 2nd Ave Suite D202 Collegeville, PA - 194263600 |
| Business Phone Number: | 6103103167 |
| Business Fax Number: | |
| Mailing Address: | 555 2nd Ave, Suite D202 COLLEGEVILLE |
| State: | PA |
| Postal Code: | 194263600 |
| Phone Number: | 6103103167 |
| Fax Number: | |
| NPI Enumeration Date: | 04/23/2010 |
| NPI Last Update Date: | 04/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |