Doctor Name: | MS. SUSAN JOY SMITH |
NPI Number: | 1487911350 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., L.P.C. |
License Number: | 4734 |
Business Practice Address: | 9233 Park Meadows Dr 225 Lonetree, CO - 801245426 |
Business Phone Number: | 7202728111 |
Business Fax Number: | |
Mailing Address: | 345 W Caley Cir, LITTLETON |
State: | CO |
Postal Code: | 801203421 |
Phone Number: | 7204321403 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2012 |
NPI Last Update Date: | 04/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4734 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |