Individual
BEVERLY ANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
620 HOWARD AVE, ACCESS BUILDING C, ALTOONA, PA 16601-4804
(814) 889-6549
(814) 889-6548
Mailing address
620 HOWARD AVE, ACCESS BUILDING C, ALTOONA, PA 16601-4804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC 001696
PA
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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