Thomas Smith's National Provider Identifier (NPI) Details
Thomas Smith, LCSW
NPI: 1306051065
Enumeration Date: 2007-05-14
Last updated: 2018-06-27
Sole Proprietor: NO
Status: active
Postal Address: 90 HOPE DR BLDG 1900, MOUNTAIN HOME AFB, ID
Phone: 208-828-7580
Primary Practice Address: 106 OFFUTT RD, HANSCOM AFB, ID
Practice's phone: 570-977-2067