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NPI Code Detail

MEDICARE: MONICA L SMAY BS

MEDICARE: MONICA L SMAY BS
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1710280342
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA L SMAY BS
Provider Business Mailing Address
First Line : 3010 7TH AVE
Second Line :
City : ALTOONA
State : PA
Zip : 16602-1906
Country : US
Telephone Number : 814-942-9425
Fax Number :
Provider Business Practice Location Address
First Line : 3010 7TH AVE
Second Line :
City : ALTOONA
State : PA
Zip : 16602-1906
Country : US
Telephone Number : 814-942-9425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2010
Last Update Date : 12/21/2010

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