Provider Demographics
NPI:1205475241
Name:CLARKE-SMITH, CAMILLE ANNE-MARIE (EDD, CES, MS)
Entity type:Individual
Prefix:DR
First Name:CAMILLE
Middle Name:ANNE-MARIE
Last Name:CLARKE-SMITH
Suffix:
Gender:F
Credentials:EDD, CES, MS
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Mailing Address - Street 1:2250 BEULAH RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-5025
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7061 LEMINGTON AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-1256
Practice Address - Country:US
Practice Address - Phone:412-865-9343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-21
Last Update Date:2019-12-21
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No103TE1100XBehavioral Health & Social Service ProvidersPsychologistExercise & Sports