Individual
STEVEN MORRIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD LP
Contact information
Practice address
1930 COON RAPIDS BLVD, FAMILY LIFE MENTAL HEALTH CENTER, COON RAPIDS, MN 55433
(763) 427-7964
(763) 427-7976
Mailing address
1930 COON RAPIDS BLVD, FAMILY LIFE MENTAL HEALTH CENTER, COON RAPIDS, MN 55433
(763) 427-7964
(763) 427-7976
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1569
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1006996
PREFERRED ONE
MN
01
—
108293
UCARE
—
01
—
346M1SM
BCBS
MN
01
—
6141179
UBH
—
05
—
853252400
—
MN
01
—
HP33678
HEALTH PARTNERS
—
Enumeration date
04/07/2006
Last updated
12/10/2008
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