Healthcare Provider Details

I. General information

NPI: 1447162680
Provider Name (Legal Business Name): ERIN SMIDA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 CHESTER PIKE
PROSPECT PARK PA
19076-2322
US

IV. Provider business mailing address

575 ROUTE 28 STE 2108
RARITAN NJ
08869-1354
US

V. Phone/Fax

Practice location:
  • Phone: 973-264-0023
  • Fax: 973-264-0022
Mailing address:
  • Phone: 973-264-0023
  • Fax: 973-264-0022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC016162
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: