Individual
MS. MITCHANN SMOYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
270 DRUM POINT RD, BRICK, NJ 08723-6376
(848) 232-8040
Mailing address
PO BOX 1926, BRICK, NJ 08723-1071
(848) 232-8040
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
44SL05906600
NJ
103TB0200X
Cognitive & Behavioral Psychologist
44SL05906600
NJ
103TF0000X
Family Psychologist
44SL05906600
NJ
104100000X
Social Worker
Primary
44SL05906600
NJ
104100000X
Social Worker
44SW05306000
NJ
106H00000X
Marriage & Family Therapist
44SL05906600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558622688
NPPES
NJ
Enumeration date
06/05/2012
Last updated
04/21/2021
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