Individual
MEGHAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1617 MONUMENT AVE STE 202, RICHMOND, VA 23220
(804) 442-7192
Mailing address
1613 FLOYD AVE, RICHMOND, VA 23220-4621
(410) 627-7143
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
0810006018
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945182
—
VA
Enumeration date
06/29/2014
Last updated
07/17/2018
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