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NPI Code Detail

MEDICARE: ELIZABETH ANN SMITH LMFT

MEDICARE: ELIZABETH ANN SMITH 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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1164732541
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANN SMITH LMFT
Provider Business Mailing Address
First Line : 3671 BUSINESS DR
Second Line : STE. #100
City : SACRAMENTO
State : CA
Zip : 95820-2197
Country : US
Telephone Number : 707-889-5934
Fax Number :
Provider Business Practice Location Address
First Line : 3671 BUSINESS DR
Second Line : STE. #100
City : SACRAMENTO
State : CA
Zip : 95820-2197
Country : US
Telephone Number : 707-889-5934
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2010
Last Update Date : 01/03/2022

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