Smith, Camille
Smith, Camille is an sole proprietor health care provider with primary practice located at 2131 East Broadway Road Suite 11, Tempe AZ 85282. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Smith, Camille can be contacted via phone (602) 373-3881.Contact Information
Primary practice address
2131 East Broadway Road Suite 11
Tempe AZ 85282
Phone: (602) 373-3881
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC 1406 | Arizona |
Profile Details
| NPI number | 1336260454 |
|---|---|
| LBN Legal business name | Smith, Camille |
| Credentials | MA, LPC, ATR-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336260454 | NPPES |
| Arizona | Other | 735855 | AHCCCS PROVIDER # |
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