Provider Demographics
NPI:1184323842
Name:SMEDLEY, DANIEL K (MFT)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:K
Last Name:SMEDLEY
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 E 500 N APT 6
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84606-3026
Mailing Address - Country:US
Mailing Address - Phone:435-764-2755
Mailing Address - Fax:
Practice Address - Street 1:1 E CENTER ST STE 300
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84606-3154
Practice Address - Country:US
Practice Address - Phone:801-332-9660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist