Individual
DR. DAN MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
425 FAIRVIEW AVE, PONCA CITY, OK 74601-1924
(580) 765-3900
Mailing address
15 SHERMAN LN, PONCA CITY, OK 74604-5724
(580) 765-9973
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
212
OK
106H00000X
Marriage & Family Therapist
Primary
525
OK
Other
Enumeration date
06/23/2006
Last updated
09/11/2025
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