Individual
STANLEY BRUCE SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
16200 19 MILE RD, CLINTON TWP, MI 48038-1103
(586) 263-8700
Mailing address
16200 19 MILE RD, CLINTON TWP, MI 48038-1103
(586) 263-8700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301011684
MI
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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