MEDICARE: PAIGE SMITH M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	41441	CA
2	106H00000X	Marriage & Family Therapist	01329	NV

General Provider Information

NPI Number	:	1508040882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE SMITH M.S.

Provider Business Mailing Address
First Line	:	3629 SKYLINE BLVD
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-5681
Country	:	US
Telephone Number	:	775-273-8864
Fax Number	:

Provider Business Practice Location Address
First Line	:	180 W HUFFAKER LN STE 303
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89511-2091
Country	:	US
Telephone Number	:	775-273-8864
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2007
Last Update Date	:	03/27/2019

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Directions to “ PAIGE SMITH M.S.” Practice Location

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