Individual
DR. DEBBORAH E. SMYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
385 SOUTHBRIDGE ST, AUBURN, MA 01501-2498
(508) 856-0732
(508) 425-5126
Mailing address
5 NEPONSET ST FL STREET12, WORCESTER, MA 01606-2714
(508) 368-5532
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
Primary
9355
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042197449
TRICARE
MA
Enumeration date
06/16/2010
Last updated
03/13/2019
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