Provider Demographics
NPI:1538281811
Name:HUGH S. SMITH, PH.D. & ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:HUGH S. SMITH, PH.D. & ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HUGH
Authorized Official - Middle Name:SANFORD
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:717-391-6808
Mailing Address - Street 1:1831 LITITZ PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-6501
Mailing Address - Country:US
Mailing Address - Phone:717-391-6808
Mailing Address - Fax:717-391-0709
Practice Address - Street 1:1831 LITITZ PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6501
Practice Address - Country:US
Practice Address - Phone:717-391-6808
Practice Address - Fax:717-391-0709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-008355-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001418443OtherBLUE SHIELD ID#
PA349221000OtherMAGELLAN ID#
PA0018271920006Medicaid
PA7034387OtherAETNA
PA236197OtherVALUE BH ID#
PA=========OtherUBH ID#