Provider Demographics
NPI:1770856841
Name:SMITH, MARIA WHITMORE (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:WHITMORE
Last Name:SMITH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 NEFF AVE
Mailing Address - Street 2:UNIT L
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3438
Mailing Address - Country:US
Mailing Address - Phone:540-433-2858
Mailing Address - Fax:540-433-1175
Practice Address - Street 1:370 NEFF AVE
Practice Address - Street 2:UNIT L
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3438
Practice Address - Country:US
Practice Address - Phone:540-433-2858
Practice Address - Fax:540-433-1175
Is Sole Proprietor?:No
Enumeration Date:2012-02-20
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004423103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical