Smida, Maryagnes

Smida, Maryagnes is an individual health care provider with primary practice located at 75 E Maiden St Suite 103, Washington PA 15301-4963. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Smida, Maryagnes can be contacted via phone (724) 554-2191.

Contact Information

Primary practice address
75 E Maiden St Suite 103 Washington PA 15301-4963
Fax: (724) 229-3277
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC001554 Pennsylvania

Profile Details

NPI number 1902957350
LBN Legal business name Smida, Maryagnes
Credentials LPC, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2007
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902957350 NPPES
Pennsylvania Other 524957 PROVIDER VALUEOPTIONS,VBH
Pennsylvania Other PC001554 PROVIDER VALUEOPTIONS,VBH
Pennsylvania Other 61973 PROVIDER VALUEOPTIONS,VBH

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