Individual
FELIX SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., LICENSED PSYC
Contact information
Practice address
720 W WACKERLY ST, MIDLAND, MI 48640-2769
(989) 832-2165
Mailing address
1404 W MICHIGAN ST, MT PLEASANT, MI 48858-2162
(989) 607-0390
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015240
MI
Other
Enumeration date
09/17/2012
Last updated
09/03/2013
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