Jean L Smith is a Clinical in Newtonville, Massachusetts. Jean L Smith practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jean L Smith is 1225184039. The last update date is 2007-07-08.
Jean L Smith's current location address is 398 Lowell Ave, Newtonville, Massachusetts. You can contact this provider via phone number 6175588880. The mailing address for Jean L Smith is 398 Lowell Ave, Newtonville, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean L Smith |
|---|---|
| Address | 398 Lowell Ave, Newtonville, Massachusetts |
| Phone Number | 6175588880 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1225184039 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 398 Lowell Ave |
|---|---|
| City | Newtonville |
| State | Massachusetts (MA) |
| Post Code | 24602152 |
| Phone Number | 6175588880 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | MA LIC # 258 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 509175 | MA | -- |
Post Comment/ Review Below
What is the Jean L Smith's 1225184039?
The Jean L Smith's NPI (National Provider Identifier) Number is 1225184039. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jean L Smith?
The Jean L Smith is physically situated at 398 Lowell Ave, in the city of Newtonville, state of MA, with the postal code 24602152.
What is the Jean L Smith's specialty and taxonomy code?
The Jean L Smith's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225184039 to Jean L Smith?
The Centers for Medicare & Medicaid Services originally issued the 1225184039 to Jean L Smith on 2007-01-26.
As of what date were the Jean L Smith's details last updated?
The information pertaining to the Jean L Smith, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1982607495
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