Individual
EVAN LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
325 EAST EISENHOWER, SUITE 300, ANN ARBOR, MI 48108-5744
(734) 936-7052
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301017632
MI
103TR0400X
Rehabilitation Psychologist
6301017632
MI
Other
Enumeration date
08/24/2016
Last updated
01/10/2019
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