NPI Profile for MARVIN SMITH in MESA, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical | |
Behavior Technician |
106S00000X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Cognitive & Behavioral |
103TB0200X | 62 | Psychologist, Clinical | |
Counselor |
101Y00000X | |||
Group Psychotherapy |
103TP2701X | 62 | Psychologist, Clinical | |
Mental Health |
101YM0800X | |||
Prescribing (Medical) |
103TP0016X | 62 | Psychologist, Clinical | |
Psychologist |
103T00000X | 62 | Psychologist, Clinical | |
Social Worker |
104100000X |
| NPI # | 1467196022 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/20/2022 | |
| Last updated | 04/20/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MARVIN SMITH
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