Individual
IRMA CATHERINE SMET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1821 S WEBSTER AVE, GREEN BAY, WI 54301-2253
(920) 496-4700
(920) 496-4705
Mailing address
PO BOX 19070, PREVEA HEALTH, GREEN BAY, WI 54307-9070
(920) 496-4700
(920) 496-4705
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2564
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39150000
—
WI
Enumeration date
07/26/2006
Last updated
07/08/2007
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