| Doctor Name: | RYAN SMITH |
| NPI Number: | 1649577222 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | BA,CSMS,CNLP,CHHP |
| License Number: | |
| Business Practice Address: | 210 Bower Hill Rd Mt Lebanon, PA - 152281419 |
| Business Phone Number: | 4127604626 |
| Business Fax Number: | 4127742069 |
| Mailing Address: | 461 Cochran Rd, #140 MT LEBANON |
| State: | PA |
| Postal Code: | 152281253 |
| Phone Number: | 4129692733 |
| Fax Number: | 4127742069 |
| NPI Enumeration Date: | 02/17/2011 |
| NPI Last Update Date: | 11/02/2012 |
| 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: | |