Provider Demographics
NPI:1164793881
Name:SMITH, DANA ALEY (MA, LPC, LBS, NCC)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:ALEY
Last Name:SMITH
Suffix:
Gender:F
Credentials:MA, LPC, LBS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 ASPEN DR
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-1096
Mailing Address - Country:US
Mailing Address - Phone:610-716-6601
Mailing Address - Fax:
Practice Address - Street 1:183 W LANCASTER AVE
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1740
Practice Address - Country:US
Practice Address - Phone:610-716-6601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-26
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006663101YM0800X
PABH000340101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
250503OtherNATIONAL CERTIFIED COUNSELOR
PAPC006663OtherLICENSED PROFESSIONAL COUNSELOR
PABH000340OtherBOARD OF MEDICINE