Organization
LEWIS SMITH PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEWIS WILSON SMITH PH.D. (LICENSED PSYCHOLOGIST)
(248) 644-2955
Entity
Organization
Contact information
Practice address
1655 W BIG BEAVER RD, TROY, MI 48084-3501
(248) 644-2955
(248) 644-0237
Mailing address
1655 W BIG BEAVER RD, TROY, MI 48084-3501
(248) 644-2955
(248) 644-0237
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6201002143
MI
103T00000X
Psychologist
6301002143
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301002143
LICENSED PSYCHOLOGIST
MI
Enumeration date
05/15/2006
Last updated
09/16/2014
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