Individual
DR. MARICELA MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5222 E BASELINE RD STE 101, GILBERT, AZ 85234-2963
(480) 647-7911
Mailing address
3707 E SOUTHERN AVE STE 1026, MESA, AZ 85206-6202
(208) 320-4801
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-005639
AZ
Other
Enumeration date
08/28/2023
Last updated
09/26/2023
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