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NPI Code Detail

MEDICARE: DR. STEPHANIE SMITH-DURKIN PHD

MEDICARE: DR. STEPHANIE SMITH-DURKIN PHD
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 Counselor0704015643VA

General Provider Information

NPI Number : 1982418307
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHANIE SMITH-DURKIN PHD
Provider Business Mailing Address
First Line : 4505 COLUMBUS ST STE 200
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-6781
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4505 COLUMBUS ST STE 200
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-6781
Country : US
Telephone Number : 757-222-4944
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2025
Last Update Date : 02/05/2025

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