Smalls, Roberta M
Smalls, Roberta M is an sole proprietor health care provider with primary practice located at 523 Sarah St , Stroudsburg PA 18360-2118. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smalls, Roberta M can be contacted via phone (570) 620-6911.Contact Information
Primary practice address
523 Sarah St
Stroudsburg PA 18360-2118
Phone: (570) 620-6911
Fax: (714) 333-1817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW013133 | Pennsylvania |
Profile Details
| NPI number | 1104847227 |
|---|---|
| LBN Legal business name | Smalls, Roberta M |
| Credentials | M.S.W. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Feb 7th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104847227 | NPPES |
| Pennsylvania | MEDICAID | 0018508420001 | |
| Pennsylvania | Other | 0000924701 | |
| Pennsylvania | Other | 168715 |
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