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Individual

DR. ERIN MICHELLE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
100 ESSEX CT, SUITE B, MADISON, AL 35758-3139
(256) 774-7100
(256) 774-7579
Mailing address
100 ESSEX CT, SUITE B, MADISON, AL 35758-3139
(256) 774-7100
(256) 774-7579

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1197
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2082972
FIRST HEALTH PROVIDER NUM
AL
01
281495
UNITED HEALTH CARE
AL
01
51507014
BCBS PROVIDER NUMBER
AL
01
51512011
BCBS FEDERAL EMPLOYEES
AL
Enumeration date
07/26/2006
Last updated
07/09/2007
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