Elizabeth Smith, OTR - Psychologist in Brockton, MA

Elizabeth Smith, OTR is a Psychologist - Exercise & Sports based in Brockton, Massachusetts. Elizabeth Smith is licensed to practice in Massachusetts (license number 10902) and her current practice location is 1115 W Chestnut St, Brockton, Massachusetts. She can be reached at her office (for appointments etc.) via phone at (508) 580-4691.

NPI number for Elizabeth Smith is 1174963003 and her current mailing address is 1 Deborah Lee Ln, North Easton, Massachusetts. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174963003.

Contact Information

Elizabeth Smith, OTR
1115 W Chestnut St,
Brockton, MA 02301-7501
(508) 580-4691
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameElizabeth Smith
GenderFemale
SpecialityPsychologist - Exercise & Sports
Location1115 W Chestnut St, Brockton, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174963003
  • Provider Enumeration Date: 06/25/2013
  • Last Update Date: 06/25/2013

Medical Identifiers

Medical identifiers for Elizabeth Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174963003NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TE1100XPsychologist - Exercise & Sports 10902 (Massachusetts)Primary
390200000XStudent In An Organized Health Care Education/training Program 10902 (Massachusetts)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elizabeth Smith is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Elizabeth Smith, OTR
1 Deborah Lee Ln,
North Easton, MA 02356-2514

Ph: (774) 219-3379
Elizabeth Smith, OTR
1115 W Chestnut St,
Brockton, MA 02301-7501

Ph: (508) 580-4691

Reviews and Comments


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