Healthcare Provider Details

I. General information

NPI: 1801021639
Provider Name (Legal Business Name): BARBARA N. SMITH PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2009
Last Update Date: 12/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 S 19TH ST STE 340
PHILADELPHIA PA
19103-4912
US

IV. Provider business mailing address

135 S 19TH ST # 320
PHILADELPHIA PA
19103-4912
US

V. Phone/Fax

Practice location:
  • Phone: 215-735-9562
  • Fax:
Mailing address:
  • Phone: 215-735-9562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: