Individual
MICHAELA D.M. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
1925 WOODWINDS DR, WOODBURY, MN 55125-2270
(651) 232-0100
Mailing address
1700 UNIVERSITY AVE W, 6TH FLOOR, SAINT PAUL, MN 55104-3727
(651) 232-2273
(651) 232-4953
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP5813
MN
Other
Enumeration date
09/10/2012
Last updated
02/05/2016
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