Individual
DR. RONNA SMITH-CRAIG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
630 N OLD WOODWARD AVE, SUITE 303, BIRMINGHAM, MI 48009-3858
(248) 321-1212
(248) 433-3393
Mailing address
630 N OLD WOODWARD AVE, STE 303, BIRMINGHAM, MI 48009-3862
(248) 321-1212
(248) 928-2051
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301010254
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11289228
CAQH PROVIDER ID
MI
01
—
680F332790
BCBSMI
MI
Enumeration date
02/01/2006
Last updated
01/18/2018
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