Individual
DR. PAUL CORBY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1163 10TH ST, MARTIN, MI 49070-9722
(269) 685-2361
Mailing address
1163 10TH ST, MARTIN, MI 49070-9722
(269) 685-2361
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301002536
MI
103TA0700X
Adult Development & Aging Psychologist
6301002536
MI
103TB0200X
Cognitive & Behavioral Psychologist
Primary
6301002536
MI
103TC0700X
Clinical Psychologist
6301002536
MI
103TM1800X
Intellectual & Developmental Disabilities Psychologist
6301002536
MI
Other
Enumeration date
09/06/2008
Last updated
09/06/2008
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