Provider Demographics
NPI:1336140573
Name:SMITH-SEEMILLER, LAURA (PHD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:
Last Name:SMITH-SEEMILLER
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 1:303 CAMPMEETING RD
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-8322
Mailing Address - Country:US
Mailing Address - Phone:412-749-2349
Mailing Address - Fax:412-749-2322
Practice Address - Street 1:303 CAMPMEETING RD
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-8322
Practice Address - Country:US
Practice Address - Phone:412-749-2349
Practice Address - Fax:412-749-2322
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-006039-L103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA716996Medicare ID - Type UnspecifiedPROVIDER NUMBER
PAS34576Medicare UPIN