Individual
ALEXIS ZACHERY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
334 JARVIS ST APT 109, YPSILANTI, MI 48197-8132
(819) 588-3374
Mailing address
334 JARVIS ST APT 209, YPSILANTI, MI 48197-8133
(819) 588-3374
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362010146
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/09/2021
Last updated
05/22/2025
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