Organization
BARBARA JONES SMITH PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA JONES SMITH PHD (OWNER)
(231) 947-1444
Entity
Organization
Contact information
Practice address
921 W 11TH ST, 1W, TRAVERSE CITY, MI 49684-3002
(231) 947-1444
(231) 947-2444
Mailing address
921 W 11TH ST, 1W, TRAVERSE CITY, MI 49684-3002
(231) 947-1444
(231) 947-2444
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301007417
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B84653
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/06/2007
Last updated
11/15/2007
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