Individual
MICHELE B. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
115 E 92ND ST, SUITE A, NEW YORK, NY 10128-1688
(917) 648-4904
Mailing address
115 E 92ND ST, SUITE A, NEW YORK, NY 10128-1688
(917) 648-4904
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
68 019202
NY
Other
Enumeration date
10/02/2007
Last updated
03/31/2012
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