Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eboni Marie Smith

Individual provider Cognitive & Behavioral Psychologist · NPI 1477230589

Eboni Marie Smith is a Cognitive & Behavioral Psychologist in Gary, Indiana. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2023

Practice location Address checks out

4121 Lincoln St Apt 2
Gary, IN 46408-2560
Phone: (872) 301-0893
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cognitive & Behavioral Psychologist (primary) Taxonomy 103TB0200X · Licence 0704013232 (VA)

Record details

NPI number1477230589
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 29, 2023
Last updated in NPPESJune 29, 2023
Certification dateJune 29, 2023
Mailing address4121 Lincoln St Apt 2, Gary, IN 46408-2560