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Individual

DR. HAROLD B SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PYS.D.

Contact information

Practice address
9067 US HIGHWAY 31, BERRIEN SPRINGS, MI 49103-1664
(269) 277-0549
Mailing address
9067 US 31, SUITE 203, BERRIEN SPRINGS, MI 49103
(269) 471-9892

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
20041353A
IN
103T00000X
Psychologist
Primary
6301010743
MI
103T00000X
Psychologist
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003881533
MI
01
ON12920
RR MEDICARE
Enumeration date
02/20/2006
Last updated
02/08/2010
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