Provider Demographics
NPI:1710194808
Name:SMITH, AUDREY LITTRELL (EDD)
Entity Type:Individual
Prefix:DR
First Name:AUDREY
Middle Name:LITTRELL
Last Name:SMITH
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:DR
Other - First Name:AUDREY
Other - Middle Name:SHARON
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EDD
Mailing Address - Street 1:501 WEST FIRST ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-2613
Mailing Address - Country:US
Mailing Address - Phone:319-277-6862
Mailing Address - Fax:319-268-2207
Practice Address - Street 1:324 WEST 3RD ST
Practice Address - Street 2:CEDAR FALLS COUNSELING ASSOCIATES
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-2745
Practice Address - Country:US
Practice Address - Phone:319-277-4383
Practice Address - Fax:319-268-2207
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA16101YM0800X
IA110101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health