Doctor Name: | AMBER VASHONN SMITH |
NPI Number: | 1750654273 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 9722 Opal Rock Dr Rosharon, TX - 775832501 |
Business Phone Number: | 7135691708 |
Business Fax Number: | |
Mailing Address: | 9722 Opal Rock Dr, ROSHARON |
State: | TX |
Postal Code: | 775832501 |
Phone Number: | 7135691708 |
Fax Number: | |
NPI Enumeration Date: | 02/14/2012 |
NPI Last Update Date: | 02/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |