Provider Demographics
NPI:1164633616
Name:SMITH, MARGARET G (PHD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:G
Last Name:SMITH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 THURMAN AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43206-2629
Mailing Address - Country:US
Mailing Address - Phone:614-444-0961
Mailing Address - Fax:614-444-0962
Practice Address - Street 1:181 THURMAN AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43206-2629
Practice Address - Country:US
Practice Address - Phone:614-444-0961
Practice Address - Fax:614-444-0962
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5144103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)