Provider Demographics
NPI:1396039681
Name:SMITH, DOUGLAS P (MASTERS IN COUNSELIN)
Entity Type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:P
Last Name:SMITH
Suffix:
Gender:M
Credentials:MASTERS IN COUNSELIN
Other - Prefix:
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Mailing Address - Street 1:550 QUARRY ROAD
Mailing Address - Street 2:HSA 201
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070
Mailing Address - Country:US
Mailing Address - Phone:650-802-6427
Mailing Address - Fax:650-508-0872
Practice Address - Street 1:550 QUARRY RD
Practice Address - Street 2:HSA 201
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070-6221
Practice Address - Country:US
Practice Address - Phone:650-802-6427
Practice Address - Fax:650-508-0872
Is Sole Proprietor?:No
Enumeration Date:2011-06-03
Last Update Date:2011-06-03
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor