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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336260454 NPPES
Arizona Other 735855 AHCCCS PROVIDER #

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