Smith, Pamela D.
Smith, Pamela D. is an individual health care provider with primary practice located at 2405 Fairlawn Dr , Carthage MO 64836-3517. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Pamela D. can be contacted via phone (417) 359-8093.Contact Information
Primary practice address
2405 Fairlawn Dr
Carthage MO 64836-3517
Phone: (417) 359-8093
Fax: (417) 359-8094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2005025551 | Missouri |
Profile Details
| NPI number | 1548465453 |
|---|---|
| LBN Legal business name | Smith, Pamela D. |
| Credentials | M.S.W., L.C.S.W |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2007 |
| Last updated | Jul 21st, 2010 - about 15 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 | 1548465453 | NPPES |
| Missouri | MEDICAID | 497241901 |
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