Provider Demographics
NPI:1912050873
Name:SMART, BIRGIT M (PHD)
Entity Type:Individual
Prefix:DR
First Name:BIRGIT
Middle Name:M
Last Name:SMART
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:BIRGIT
Other - Middle Name:M
Other - Last Name:GRABOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER
Mailing Address - Street 2:P. O. BOX 69004
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71306
Mailing Address - Country:US
Mailing Address - Phone:318-473-0010
Mailing Address - Fax:318-483-5096
Practice Address - Street 1:2495 SHREVEPORT HIGHWAY 71 N
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360
Practice Address - Country:US
Practice Address - Phone:318-473-0010
Practice Address - Fax:318-483-5096
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1160103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling