Provider Demographics
NPI:1992969349
Name:SMYTH, BARBARA ANN (MSW)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:SMYTH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 WEALD WAY
Mailing Address - Street 2:APT 2612
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95833-3580
Mailing Address - Country:US
Mailing Address - Phone:916-708-7501
Mailing Address - Fax:
Practice Address - Street 1:2950 WEALD WAY
Practice Address - Street 2:APT 2612
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95833-3580
Practice Address - Country:US
Practice Address - Phone:916-708-7501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker