Provider Demographics
NPI:1851958482
Name:SMITH, REBECCA J (MS)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:J
Last Name:SMITH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:120 HAMM DR
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-7496
Practice Address - Country:US
Practice Address - Phone:570-522-9430
Practice Address - Fax:570-522-9431
Is Sole Proprietor?:No
Enumeration Date:2019-05-20
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS