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416 N Homer St Ste 105 Lansing MI 48912-4700 | |
| (517) 282-8249 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 416 N Homer St Ste 105, Lansing, Michigan |
| Authorized Official Name and Position | B Craig Smith (PSYCHOLOGIST, OWNER) |
| Authorized Official Contact | 5179305768 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
416 N Homer St Ste 105 Lansing MI 48912-4700 Ph: (517) 282-8249 | 416 N Homer St Ste 105 Lansing MI 48912-4700 Ph: (517) 282-8249 |
| NPI Number | 1609500503 |
|---|---|
| Provider Enumeration Date | 07/15/2022 |
| Last Update Date | 04/28/2023 |
| Certification Date | 04/28/2023 |
| Medicare PECOS PAC ID | 7810353612 |
|---|---|
| Medicare Enrollment ID | O20230522001257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609500503 | NPI | - | NPPES |
| Provider Name | Byrne C Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124140017 PECOS PAC ID: 0547482101 Enrollment ID: I20141114000880 |
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