Individual
DR. JUSTIN MARK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1830 S ALMA SCHOOL RD STE 112, MESA, AZ 85210-3086
(480) 730-6222
Mailing address
1830 S ALMA SCHOOL RD STE 112, MESA, AZ 85210-3086
(480) 730-6222
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003910
AZ
103TC0700X
Clinical Psychologist
2612-57
WI
103TC0700X
Clinical Psychologist
6301019264
MI
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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