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Elizabeth Smith, OTR
Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts
NPI 1174963003

Elizabeth Smith is a Student in an Organized Health Care Education/Training Program based in North Easton, MA. Elizabeth Smith practices in Brockton, MA and has the professional credentials of OTR. The NPI Number for Elizabeth Smith is 1174963003 and holds a License No. 10902 (Massachusetts).

The current practice location address for Elizabeth Smith is 1115 W Chestnut St, Brockton, MA and can be reached out via phone at 508-580-4691. You can also correspond with Elizabeth Smith through the mailing address at 1 DEBORAH LEE LN, NORTH EASTON, MA - 02356-2514 (mailing address contact number: 774-219-3379).

Location: 1115 W Chestnut St, Brockton, MA, 02356-2514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174963003
Provider Name
Elizabeth Smith
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
1115 W Chestnut St, Brockton, MA, 02356-2514
Phone Number
508-580-4691
Fax Number
Provider Enumeration Date
06/25/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1115 W Chestnut St
City
Brockton
State
Massachusetts
Zip
02301-7501
Phone Number
508-580-4691
Fax Number
person
Provider Business Mailing Address Details
Address
1 Deborah Lee Ln
City
North Easton
State
Massachusetts
Zip
02356-2514
Phone Number
774-219-3379
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Exercise & Sports
Taxonomy
103TE1100X
License No.
10902 (Massachusetts)
Definition
A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists. Sport Psychology interventions are designed to assist athletes and other sports participants (e.g., coaches, administrators, parents) from a wide array of settings, levels of competition, and ages, ranging from recreational youth participants to professional and Olympic athletes to master's level performers.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
10902 (Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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