Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
N | 101YP1600X | Pastoral Counselor | ||
N | 103TE1100X | Exercise & Sports Psychologist |
NPI | 1205475241 |
---|---|
Provider Name | Dr. Camille Anne-Marie Clarke-Smith |
First Address | Pittsburgh, PA 15235-5025 |
Second Address | Pittsburgh, PA 15206-1256 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2019 |
Last Update Date | 21/12/2019 |