Organization
ANN EMILIE-CLARE SMITH PSYD LP P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN EMILIE-CLARE SMITH PSYD (PSYCHOLOGIST)
(248) 535-2647
Entity
Organization
Contact information
Practice address
195 W 9 MILE RD STE 103, FERNDALE, MI 48220-1749
(248) 535-2647
Mailing address
2209 SUNNYKNOLL AVE, BERKLEY, MI 48072-1791
(248) 535-2647
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013774
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11819364
CAQH
—
01
—
1194943209
NPI
MI
01
—
6301013774
STATE OF MICHIGAN BOARD OF PSYCHOLOGY
MI
Enumeration date
03/30/2018
Last updated
03/30/2018
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