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NPI Code Detail

MEDICARE: MATTHEW DAVID SMITH IMFT

MEDICARE: MATTHEW DAVID SMITH IMFT
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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1619510948
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW DAVID SMITH IMFT
Provider Business Mailing Address
First Line : 900 MULL AVE
Second Line :
City : AKRON
State : OH
Zip : 44313-7597
Country : US
Telephone Number : 330-867-5603
Fax Number :
Provider Business Practice Location Address
First Line : 900 MULL AVE
Second Line :
City : AKRON
State : OH
Zip : 44313-7597
Country : US
Telephone Number : 330-867-5603
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2019
Last Update Date : 05/14/2025

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