Active NPIIndividual providerSole proprietor

Dr. Jean L Smith, PHD

Psychologist, Clinical in Newton Centre, Massachusetts

NPI Number1225184039
Practice location
11 Homer St, Newton Centre, MA 02459-1510
Fax
—
Last updated
July 8, 2007

Jean L Smith is a Psychologist, Clinical based in Newton Centre, MA. Jean L Smith practices in Newton Centre, MA and has the professional credentials of PHD. The NPI Number for Jean L Smith is 1225184039 and holds a License No. MA LIC # 2589 (MA). The current practice location address for Jean L Smith is 11 Homer St, Newton Centre, MA 02459-1510 and can be reached out via phone at 617-558-8880.

Provider Profile Details

NPI Number
1225184039
Provider Name
Jean L Smith
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
11 Homer St, Newton Centre, MA 02459-1510
Phone Number
617-558-8880
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 26, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Homer St
Newton Centre, MA 02459-1510
Zip
02459-1510
Phone Number
617-558-8880
Newton Centre, MA 02459Get directions →

Provider Business Mailing Address Details

Address
398 Lowell Ave
Newtonville, MA 02460-2152
City
Newtonville
State
MA
Zip
02460-2152
Phone Number
617-558-8880

License Information

License Number
MA LIC # 2589
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jean L Smith, PHD?

The NPI number of Dr. Jean L Smith, PHD is 1225184039. It was assigned on January 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Jean L Smith, PHD?

Dr. Jean L Smith, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number MA LIC # 2589.

Where does Dr. Jean L Smith, PHD practice?

The practice location is 11 Homer St, Newton Centre, MA 02459-1510. The office can be reached at 617-558-8880 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225184039 directly on the NPPES registry website.

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