Individual
CASEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.ED, M.PHIL.ED
Contact information
Practice address
727 N BROADWAY STE C1, MASSAPEQUA, NY 11758-2348
(516) 531-7574
Mailing address
727 N BROADWAY STE C1, MASSAPEQUA, NY 11758-2348
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P137637
NY
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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