National Provider Identifier

Gina Marie Smith, MA CLINICAL PSY

Gina Marie Smith, MA CLINICAL PSY is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Olean, NY and a listed phone number of (716) 375-7500.

NPI 1023342458Olean, NYClinical Psychologist

Profile Overview

NPI
1023342458
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
October 02, 2009
Last Updated
November 29, 2016

Practice Location

  • 135 N Union St
  • Olean, NY 14760-2736

Phone: (716) 375-7500

Specialties

  • Clinical Psychologist (103TC0700X)
  • Health Psychologist (103TH0004X)
Full Record
NPI
1023342458
Entity Type
Individual
Last Name
Smith
First Name
Gina
Middle Name
Marie
Credential
MA CLINICAL PSY
Mailing Street Address
135 N Union St
Mailing City
Olean
Mailing State
NY
Mailing ZIP Code
14760-2736
Mailing Country
US
Mailing Phone
(716) 375-7500
Mailing Fax
(716) 701-6853
Practice Street Address
135 N Union St
Practice City
Olean
Practice State
NY
Practice ZIP Code
14760-2736
Practice Country
US
Practice Phone
(716) 375-7500
Practice Fax
(716) 701-6853
Enumeration Date
October 02, 2009
Last Updated
November 29, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X), Health Psychologist (103TH0004X)