NPI 1013587104

Cedric Albert Smith

Practitioner Peer Specialist Cleveland, OH

Practice location

Address: 3214 Prospect Ave E, Cleveland, OH 44115-2614
Phone: (216) 910-9015
Fax: (216) 910-9015

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 0002544 (OH)

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Registry record

NPI: 1013587104
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2021
Record last updated: 30 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.