Smith, Georgetta
Smith, Georgetta is an sole proprietor health care provider with primary practice located at 2 Bala Plz Suite 300, Bala Cynwyd PA 19004-1501. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Smith, Georgetta can be contacted via phone (610) 660-7779.Contact Information
Primary practice address
2 Bala Plz Suite 300
Bala Cynwyd PA 19004-1501
Phone: (610) 660-7779
Fax: (610) 667-8174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1194007286 |
|---|---|
| LBN Legal business name | Smith, Georgetta |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2011 |
| Last updated | Sep 14th, 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 | 1194007286 | NPPES |
| Pennsylvania | Other | 1025537100001 | MA |
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