Provider Demographics
NPI:1427046580
Name:SMITH, CAROLYN MARGARET (LPC)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:MARGARET
Last Name:SMITH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10475 PERRY HWY STE 300
Mailing Address - Street 2:TOWN CENTRE
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9213
Mailing Address - Country:US
Mailing Address - Phone:724-759-7500
Mailing Address - Fax:724-759-7600
Practice Address - Street 1:9983 PERRY HWY
Practice Address - Street 2:MERCY BEHAVIORAL HEALTH
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9297
Practice Address - Country:US
Practice Address - Phone:724-933-8200
Practice Address - Fax:724-935-8716
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PC001727101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001524307OtherHIGHMARK