Provider Demographics
NPI:1922427251
Name:SMELSER, BECKY ANN
Entity Type:Individual
Prefix:MRS
First Name:BECKY
Middle Name:ANN
Last Name:SMELSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2826 QUEENS WAY APT 1D
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:WA
Mailing Address - Zip Code:98354-9057
Mailing Address - Country:US
Mailing Address - Phone:253-414-5361
Mailing Address - Fax:
Practice Address - Street 1:2826 QUEENS WAY APT 1D
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:WA
Practice Address - Zip Code:98354-9057
Practice Address - Country:US
Practice Address - Phone:253-414-5361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist