Organization
WM MICHAEL SMITH PHD PC
Active
Other names
Rocky Mountain Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM MICHAEL SMITH PHD (PRESIDENT)
(303) 651-9290
Entity
Organization
Contact information
Practice address
2919 17TH AVE, SUITE 210, LONGMONT, CO 80503-1650
(303) 651-9290
(303) 651-7158
Mailing address
2727 NELSON RD APT P103, LONGMONT, CO 80503-9383
(303) 651-9290
(303) 651-7158
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2110
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07211014
—
CO
Enumeration date
10/24/2006
Last updated
11/13/2007
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