Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EBONI MARIE SMITH
Active Sole ProprietorEBONI MARIE SMITH is a Cognitive & Behavioral Psychologist healthcare provider located in GARY, Indiana. NPI 1477230589 is currently active in the NPPES registry. Verify at CMS.
Cognitive & Behavioral Psychologist · GARY, IN
Registration Details
- NPI Number
- 1477230589
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 29, 2023 (2.9824662810354 yrs)
- Last Updated
- Jun 29, 2023
- License
-
0704013232 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4121 LINCOLN ST APT 2GARY, IN, 464082560Browse IN providers · Browse ZIP 46408
- Phone
- 8723010893
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.