Individual
ROGER SMOTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
27241 STATE ROUTE 267, FRIENDSVILLE, PA 18818-8640
(570) 553-2078
(607) 772-2041
Mailing address
27241 STATE ROUTE 267, FRIENDSVILLE, PA 18818-8640
(570) 553-2078
(607) 772-2041
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS004970L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080439
FIRST PRIORITY HEALTH
PA
01
—
615053
HIGHMARK BC/BS
PA
Enumeration date
04/19/2006
Last updated
10/14/2015
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