Smith, Beverly R

Smith, Beverly R is an sole proprietor health care provider with primary practice located at 7606 Georgian Dr , Upper Marlboro MD 20772-4496. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Smith, Beverly R can be contacted via phone (301) 856-4057.

Contact Information

Primary practice address
7606 Georgian Dr Upper Marlboro MD 20772-4496
Phone: (301) 856-4057
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LC1057 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X PRC13604 District of Columbia

Profile Details

NPI number 1689935744
LBN Legal business name Smith, Beverly R
Credentials NCC, LCPC, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2012
Last updated Jun 6th, 2012 - about 12 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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