| Lewis Smith Ph.d., P.c. | |
|
1655 W Big Beaver Rd Troy MI 48084-3501 | |
| (248) 644-2955 | |
| (248) 644-0237 |
| Full Name | Lewis Smith Ph.d., P.c. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1655 W Big Beaver Rd, Troy, Michigan |
| Authorized Official Name and Position | Lewis Wilson Smith (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2486442955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis Smith Ph.d., P.c. 1655 W Big Beaver Rd Troy MI 48084-3501 Ph: (248) 644-2955 | Lewis Smith Ph.d., P.c. 1655 W Big Beaver Rd Troy MI 48084-3501 Ph: (248) 644-2955 |
| NPI Number | 1578514584 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 09/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578514584 | NPI | - | NPPES |
| 6301002143 | Other | MI | LICENSED PSYCHOLOGIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 6201002143 (Michigan) | Primary |
| 103T00000X | Psychologist | 6301002143 (Michigan) | Secondary |
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