Individual provider · Type 1 NPI
Kelley Smodic, CRNP
Psychiatric/Mental Health Nurse Practitioner · Greensburg, PA
NPI number
1083895965
Active
Practice location
1117 Woodward Dr, Suite 4
Greensburg, PA 15601-7228
Fax (888) 972-1731
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | SP008361 (PA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | SP008361 (PA) |
| Mental Health Counselor | 101YM0800X | SP008361 (PA) |
| Professional Counselor | 101YP2500X | SP008361 (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1083895965
Kelley Smodic, CRNP's National Provider Identifier is 1083895965, issued on Nov 19, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Greensburg, PA. The record was last updated on Sep 24, 2019.