Individual
MS. AUDREY SUE SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
402 MAIN STREET, SAEGERTOWN, PA 16433
(814) 763-1174
(814) 763-1174
Mailing address
PO BOX 844, SAEGERTOWN, PA 16433-0844
(814) 763-1174
(814) 763-1174
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS007379L
PA
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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