Individual
DR. DEBRA L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
112 W WASHINGTON ST, SUITE C, MARQUETTE, MI 49855
(906) 225-1776
(906) 225-1781
Mailing address
112 W WASHINGTON ST, SUITE C, MARQUETTE, MI 49855
(906) 225-1776
(906) 225-1781
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008288
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680E210310
BCBS
MI
Enumeration date
07/17/2006
Last updated
08/27/2012
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