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NPI Code Detail

MEDICARE: EMILY A SMYTH

MEDICARE:   EMILY A SMYTH
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
11041C0700XClinical Social WorkerLW61534557WA
21041C0700XClinical Social Worker0904013351VA

General Provider Information

NPI Number : 1538933932
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY A SMYTH
Provider Business Mailing Address
First Line : PSC 17 BOX 1
Second Line :
City : APO
State : AE
Zip : 09214-0001
Country : US
Telephone Number : 541-301-2052
Fax Number :
Provider Business Practice Location Address
First Line : PSC 17 BOX 1
Second Line :
City : APO
State : AE
Zip : 09214-0001
Country : US
Telephone Number : 541-301-2052
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2023
Last Update Date : 06/06/2024

Similar Medicare Providers

1720409675 — EMILY PORTER IDMT
Practice Location Address:
PSC 17 BOX 66
APO, AE
09214-0001
Practice Phone: 175-559-7566
Practice Fax:
1770717878 — MR. BENJAMIN LUIS GARCIA IDMT
Practice Location Address:
PSC 17 BOX 136
APO, AE
09214-0136
Practice Phone: 314-456-5244
Practice Fax:
1477787224 — CHRISTIAN MICHAEL CHAMBRE IDMT
Practice Location Address:
PSC 17 BOX 158
APO, AE
09214-0158
Practice Phone: 011496574900200
Practice Fax:
1104051812 — BRIAN JAMES WILLBERG
Practice Location Address:
PSC 17 , BOX 134
APO, AE
09214-9998
Practice Phone: 492678952244
Practice Fax:
1417931940 — DR. CHARLES PHILLIP FAY MD
Practice Location Address:
PSC 80 10502 , APO AP 96367-0001
KADENA AB, OKINAWA
96367
Practice Phone: 6305558
Practice Fax:
1730297847 — MR. JAMES CHARLES CASSELL JR. PA-C
Practice Location Address:
LANDSTUHL REGIONAL MEDICAL CENTER , CMR 402
APO, AE
09180-0001
Practice Phone: 314-486-8754
Practice Fax:

Directions to “ EMILY A SMYTH ” Practice Location

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