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NPI Code Detail

MEDICARE: LINDSEY SMITH

MEDICARE: LINDSEY 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
1101YA0400XAddiction (Substance Use Disorder) CounselorAC1862MD
2101Y00000XCounselorLC5408MD

General Provider Information

NPI Number : 1699110106
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY SMITH
Provider Business Mailing Address
First Line : 132 OAKWOOD RD
Second Line :
City : EDGEWATER
State : MD
Zip : 21037-1816
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 800 INGLESIDE AVE
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-1722
Country : US
Telephone Number : 410-744-5937
Fax Number : 410-744-4674
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2013
Last Update Date : 02/27/2017

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Directions to “ LINDSEY SMITH ” Practice Location

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