Doctor Name: | LYNN SMITH |
NPI Number: | 1497950513 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 309 E Mountain View St Suite 100 Barstow, CA - 923112814 |
Business Phone Number: | 7602560376 |
Business Fax Number: | 7602660377 |
Mailing Address: | Po Box 7369, REDLANDS |
State: | CA |
Postal Code: | 923750369 |
Phone Number: | 9093357067 |
Fax Number: | 9097922045 |
NPI Enumeration Date: | 06/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |