MEDICARE: ANNA SMITH

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
1	106H00000X	Marriage & Family Therapist	LF70073496	WA

General Provider Information

NPI Number	:	1386396794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA SMITH

Provider Business Mailing Address
First Line	:	624 W HASTINGS RD STE 1
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-2877
Country	:	US
Telephone Number	:	509-255-3015
Fax Number	:

Provider Business Practice Location Address
First Line	:	624 W HASTINGS RD STE 1
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-2877
Country	:	US
Telephone Number	:	509-255-3015
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2022
Last Update Date	:	03/23/2026

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Directions to “ ANNA SMITH ” Practice Location

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