Individual
MR. CRAIG A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LLP
Contact information
Practice address
50 FILER ST, SUITE 320, MANISTEE, MI 49660-2726
(231) 398-0948
Mailing address
PO BOX 304, EASTLAKE, MI 49626-0304
(231) 723-7532
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007730
MI
Other
Enumeration date
01/13/2007
Last updated
07/08/2007
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