Provider Demographics
NPI:1528184827
Name:SMITH, ROSEMARY (LMFT)
Entity type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 GARDEN RD
Mailing Address - Street 2:SUITE B-1
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-5327
Mailing Address - Country:US
Mailing Address - Phone:831-657-1360
Mailing Address - Fax:831-657-1378
Practice Address - Street 1:2150 GARDEN RD
Practice Address - Street 2:SUITE B-1
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5327
Practice Address - Country:US
Practice Address - Phone:831-657-1360
Practice Address - Fax:831-657-1378
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36030106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist