Smith, Dana Lyn
Smith, Dana Lyn is an sole proprietor health care provider with primary practice located at 714 E Edison Ave Suite B, Sunnyside WA 98944-2204. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Dana Lyn can be contacted via phone (509) 515-0420.Contact Information
Primary practice address
714 E Edison Ave Suite B
Sunnyside WA 98944-2204
Phone: (509) 515-0420
Fax: (509) 515-0422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW00009250 | Washington |
Profile Details
| NPI number | 1235485509 |
|---|---|
| LBN Legal business name | Smith, Dana Lyn |
| Credentials | MSW, MHP,LICSW, CMHS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2012 |
| Last updated | Apr 10th, 2017 - about 9 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 | 1235485509 | NPPES |
| Washington | MEDICAID | 2038375 |
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