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NPI Code Detail

MEDICARE: PATRICIA ANN SMITH LPC, LMFT

MEDICARE: PATRICIA ANN SMITH LPC, LMFT
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
1101YP2500XProfessional Counselor0701001263VA

General Provider Information

NPI Number : 1154331767
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA ANN SMITH LPC, LMFT
Provider Business Mailing Address
First Line : 4509 WHITECHAPEL DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23455-6447
Country : US
Telephone Number : 757-460-4655
Fax Number : 757-460-7744
Provider Business Practice Location Address
First Line : 4509 WHITECHAPEL DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23455-6447
Country : US
Telephone Number : 757-460-4655
Fax Number : 757-460-7744
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2006
Last Update Date : 05/21/2010

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Directions to “ PATRICIA ANN SMITH LPC, LMFT” Practice Location

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