Provider Demographics
NPI:1750576500
Name:SMITH, L. AARON
Entity type:Individual
Prefix:
First Name:L. AARON
Middle Name:
Last Name:SMITH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8711 MACARTHUR BLVD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-4000
Mailing Address - Country:US
Mailing Address - Phone:510-777-9909
Mailing Address - Fax:510-777-9949
Practice Address - Street 1:8711 MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-4000
Practice Address - Country:US
Practice Address - Phone:510-777-9909
Practice Address - Fax:510-777-9949
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-13
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker