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NPI Code Detail

MEDICARE: MRS. JANICE CATHERINE SMITH MS

MEDICARE:  MRS. JANICE CATHERINE 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
1103T00000XPsychologistPS005434LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386643336
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANICE CATHERINE SMITH MS
Provider Business Mailing Address
First Line : 200 NORTH 7TH STREET
Second Line :
City : LEBANON
State : PA
Zip : 17046
Country : US
Telephone Number : 717-273-1710
Fax Number : 717-273-1416
Provider Business Practice Location Address
First Line : 618 CUMBERLAND STREET
Second Line :
City : LEBANON
State : PA
Zip : 17042-5232
Country : US
Telephone Number : 717-274-2741
Fax Number : 717-274-5405
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 10/02/2008

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Directions to “ MRS. JANICE CATHERINE SMITH MS” Practice Location

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