Provider Demographics
NPI:1801021639
Name:SMITH, BARBARA N (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:N
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 1:135 S 19TH ST # 320
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-4912
Mailing Address - Country:US
Mailing Address - Phone:215-735-9562
Mailing Address - Fax:
Practice Address - Street 1:135 S 19TH ST STE 340
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-4912
Practice Address - Country:US
Practice Address - Phone:215-735-9562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-22
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP78453OtherNATIONAL ASSOCIATION FOR THE ADVANCEMENT OF PSYCHOANALYSIS (NAAP)