National Provider Identifier
Jason Andrew Smith
Jason Andrew Smith is listed in the NPPES registry with a primary specialty of School Psychologist in Rochester, NY and a listed phone number of (585) 208-5991.
Profile Overview
- NPI
- 1972109494
- Provider Type
- Individual
- Primary Specialty
- School Psychologist
- Enumeration Date
- December 09, 2020
- Last Updated
- December 09, 2020
Practice Location
- 72 Mulberry St
- Rochester, NY 14620-2432
Phone: (585) 208-5991
Specialties
- School Psychologist (103TS0200X)
Full Record
- NPI
- 1972109494
- Entity Type
- Individual
- Last Name
- Smith
- First Name
- Jason
- Middle Name
- Andrew
- Mailing Street Address
- 72 Mulberry St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-2432
- Mailing Country
- US
- Mailing Phone
- (585) 208-5991
- Practice Street Address
- 72 Mulberry St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2432
- Practice Country
- US
- Practice Phone
- (585) 208-5991
- Enumeration Date
- December 09, 2020
- Last Updated
- December 09, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- December 09, 2020
- Taxonomies
- School Psychologist (103TS0200X)