Provider Demographics
NPI:1356553747
Name:SMIT, MARTINA (MD)
Entity type:Individual
Prefix:DR
First Name:MARTINA
Middle Name:
Last Name:SMIT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13750 96 AVENUE
Mailing Address - Street 2:DEPT. OF PSYCHIATRY, SURREY MEMORIAL HOSPITAL
Mailing Address - City:SURREY
Mailing Address - State:BC
Mailing Address - Zip Code:V3V 1Z2
Mailing Address - Country:CA
Mailing Address - Phone:604-581-2211
Mailing Address - Fax:
Practice Address - Street 1:13750 96 AVENUE
Practice Address - Street 2:DEPT. OF PSYCHIATRY, SURREY MEMORIAL HOSPITAL
Practice Address - City:SURREY
Practice Address - State:BC
Practice Address - Zip Code:V3V 1Z2
Practice Address - Country:CA
Practice Address - Phone:604-581-2211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-06
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA882402084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry