Smith, Roy A
Smith, Roy A is an individual health care provider with primary practice located at 200 N. 7Th Street , Lebanon PA 17046-5040. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Smith, Roy A can be contacted via phone (717) 272-1653.Contact Information
Primary practice address
200 N. 7Th Street
Lebanon PA 17046-5040
Phone: (717) 272-1653
Fax: (717) 272-4166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS004266L | Pennsylvania |
Profile Details
| NPI number | 1194722181 |
|---|---|
| LBN Legal business name | Smith, Roy A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Dec 11th, 2015 - about 9 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 | 1194722181 | NPPES |
| Pennsylvania | MEDICAID | 001511178 |
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