Provider Demographics
NPI:1598232993
Name:SMITHSON, ANNALISA (MA, MED)
Entity Type:Individual
Prefix:
First Name:ANNALISA
Middle Name:
Last Name:SMITHSON
Suffix:
Gender:F
Credentials:MA, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1242 W CHESTER PIKE LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-5657
Mailing Address - Country:US
Mailing Address - Phone:484-266-0084
Mailing Address - Fax:484-887-0878
Practice Address - Street 1:1242 W CHESTER PIKE LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-5657
Practice Address - Country:US
Practice Address - Phone:484-266-0084
Practice Address - Fax:484-887-0878
Is Sole Proprietor?:No
Enumeration Date:2018-10-24
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor