Provider Demographics
NPI:1528244480
Name:SMITH, PATRICIA GRAFF (LPC, NCC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:GRAFF
Last Name:SMITH
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:LYNNE
Other - Last Name:GRAFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NCC
Mailing Address - Street 1:220 S MAIN ST
Mailing Address - Street 2:SUITE 306, HOLLY POINT CENTRE
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-5987
Mailing Address - Country:US
Mailing Address - Phone:724-283-9436
Mailing Address - Fax:
Practice Address - Street 1:220 S MAIN ST
Practice Address - Street 2:SUITE 306, HOLLY POINT CENTRE
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-5987
Practice Address - Country:US
Practice Address - Phone:724-283-9436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001311101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional