Doctor Name: | MS. CYNTHIA SYDNEY SMITH |
NPI Number: | 1386829182 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 3884 |
Business Practice Address: | Rr 4 Box 525 Stilwell, OK - 749609477 |
Business Phone Number: | 9185218565 |
Business Fax Number: | |
Mailing Address: | Rr 4 Box 525, STILWELL |
State: | OK |
Postal Code: | 749609477 |
Phone Number: | 9185218565 |
Fax Number: | |
NPI Enumeration Date: | 12/31/2007 |
NPI Last Update Date: | 12/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3884 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |