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NPI Code Detail

MEDICARE: JOSH M SMITH

MEDICARE: JOSH M SMITH
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
1101YP2500XProfessional CounselorPC014372PA

General Provider Information

NPI Number : 1598696155
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSH M SMITH
Provider Business Mailing Address
First Line : PO BOX 2654
Second Line :
City : UPPER DARBY
State : PA
Zip : 19082-7654
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1989 N 63RD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19151-2693
Country : US
Telephone Number : 610-639-1729
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2026
Last Update Date : 05/25/2026

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Directions to “ JOSH M SMITH ” Practice Location

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