Individual
ALYSSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
4250 PLYMOUTH RD, ANN ARBOR, MI 48109-2700
(734) 764-0231
Mailing address
16971 ALGONQUIN DR, NORTHVILLE, MI 48168-6800
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6361003253
MI
Other
Enumeration date
11/06/2015
Last updated
01/05/2021
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