National Provider Identifier

Jayme Diane Smith

Jayme Diane Smith is listed in the NPPES registry with a primary specialty of Dance Therapist in Kenmore, NY and a listed phone number of (716) 833-2623.

NPI 1720802184Kenmore, NYDance Therapist

Profile Overview

NPI
1720802184
Provider Type
Individual
Primary Specialty
Dance Therapist
Enumeration Date
November 12, 2024
Last Updated
November 12, 2024

Practice Location

  • 3199 Delaware Ave
  • Kenmore, NY 14217-1711

Phone: (716) 833-2623

Mailing Address

  • 68 Beverly RD
  • Buffalo, NY 14208-1217

Specialties

  • Dance Therapist (225600000X)
Full Record
NPI
1720802184
Entity Type
Individual
Last Name
Smith
First Name
Jayme
Middle Name
Diane
Mailing Street Address
68 Beverly RD
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14208-1217
Mailing Country
US
Mailing Phone
(716) 860-7291
Practice Street Address
3199 Delaware Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1711
Practice Country
US
Practice Phone
(716) 833-2623
Enumeration Date
November 12, 2024
Last Updated
November 12, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
November 12, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dance Therapist (225600000X)