EDWIN GARY SMITH NPI 1316601123

NPI Information

Edwin Gary Smith is a peer specialist in Redwood City, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Edwin Gary Smith NPI is 1316601123. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

727 SHASTA ST
REDWOOD CITY, CA
ZIP 94063-124
Phone: (650) 599-1071

The enumeration date for this NPI number is 10/27/2021 and was last updated on 10/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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