Smith, G David

Smith, G David is an individual health care provider with primary practice located at 2818 Green Street , Harrisburg PA 17110-1228. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Smith, G David can be contacted via phone (717) 238-6880.

Contact Information

Primary practice address
2818 Green Street Harrisburg PA 17110-1228
Fax: (717) 238-6885
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS002423L Pennsylvania

Profile Details

NPI number 1871558049
LBN Legal business name Smith, G David
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jul 8th, 2007 - about 18 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 1871558049 NPPES
Pennsylvania Other 01413901 CAPITAL BLUE CROSS
Pennsylvania MEDICAID 0013914090002 CAPITAL BLUE CROSS

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