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NPI Code Detail

MEDICARE: BECKY JO SMITH MS

MEDICARE: BECKY JO SMITH MS
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 Counselor

General Provider Information

NPI Number : 1346010006
Entity Type Code : Individual
Provider Name (Legal Business Name) : BECKY JO SMITH MS
Provider Business Mailing Address
First Line : 31 QUAIL LN
Second Line :
City : LAWTON
State : PA
Zip : 18828-7742
Country : US
Telephone Number : 570-767-4127
Fax Number :
Provider Business Practice Location Address
First Line : 335 S FRANKLIN ST
Second Line :
City : WILKES BARRE
State : PA
Zip : 18702-3808
Country : US
Telephone Number : 570-836-2722
Fax Number : 570-836-1068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2024
Last Update Date : 02/09/2026

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