Provider Demographics
NPI:1134359821
Name:SMITH, BARBARA LYNN (DVM, MS, PHD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:LYNN
Last Name:SMITH
Suffix:
Gender:F
Credentials:DVM, MS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 GROVER ST
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-1562
Mailing Address - Country:US
Mailing Address - Phone:617-529-9737
Mailing Address - Fax:978-927-6404
Practice Address - Street 1:68 GROVER ST
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-1562
Practice Address - Country:US
Practice Address - Phone:617-529-9737
Practice Address - Fax:978-927-6404
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5520174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian