Smith, Olivia C

Smith, Olivia C is an individual health care provider with primary practice located at 2435 6Th Ave , Troy NY 12180-2227. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Smith, Olivia C can be contacted via phone (518) 274-5143.

Contact Information

Primary practice address
2435 6Th Ave Troy NY 12180-2227
Fax: (518) 273-1350
Website:

Health care specialties

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

Profile Details

NPI number 1336803733
LBN Legal business name Smith, Olivia C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2021
Last updated Oct 22nd, 2021 - about 3 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 1336803733 NPPES
New York MEDICAID 01420800

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