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NPI Code Detail

MEDICARE: MS. CINDY B SMITH M.S., L.P.C.

MEDICARE: MS. CINDY B SMITH M.S., L.P.C.
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
1101YM0800XMental Health Counselor5282OK
2101YM0800XMental Health CounselorMS LPC UNDER SUP.

General Provider Information

NPI Number : 1013114941
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CINDY B SMITH M.S., L.P.C.
Provider Business Mailing Address
First Line : 1728 S CARSON AVE
Second Line :
City : TULSA
State : OK
Zip : 74119-4610
Country : US
Telephone Number : 918-816-1149
Fax Number : 918-280-0310
Provider Business Practice Location Address
First Line : 1728 S CARSON AVE
Second Line :
City : TULSA
State : OK
Zip : 74119-4610
Country : US
Telephone Number : 918-816-1149
Fax Number : 918-280-0310
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2007
Last Update Date : 03/19/2020

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