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Contact Information

DIANE E SMITH, LMFT
519 HERTIAGE ROAD
SUITE 2D
SOUTHBURY, CT06488-1699
 Phone: 203-232-7667
 Fax: 203-881-9136
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Marriage & Family Therapist

106H00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for DIANE E SMITH · (Female)

NPI # 1497819288
Status Active
Credentials LMFT (Licensed Marriage and Family Therapist)
Entity Individual
Enumeration date 12/19/2006
Last updated 02/03/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 001054
  • CT Medicaid 008003522
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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