Organization
PAUL L SMITH, PHD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL LUCKI SMITH PHD (OWNER)
(248) 656-8500
Entity
Organization
Contact information
Practice address
1202 WALTON BLVD, SUITE 210, ROCHESTER HILLS, MI 48307-6917
(248) 656-8500
(248) 656-8600
Mailing address
15655 33 MILE RD, ARMADA, MI 48005-3400
(248) 656-0206
(248) 656-8600
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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