Theresa M Smith
NPI #1265862791 in Brockton, Massachusetts
Provider Information
- NPI Number
- 1265862791
- Entity Type
- Organization
- Organization Name
- Theresa M Smith
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Nov 19, 2013
- Last Updated
- Nov 19, 2013
Practice Location
- Address
- 820 PEARL ST
- City
- Brockton
- State
- Massachusetts
- ZIP Code
- 02301-4411
- Phone
- (508) 583-9800
Authorized Official
- Name
- CHERYL A PUOPOLO
- Title
- ADMINISTRATIVE ASSISTANT
- Phone
- (508) 583-9800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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