Mr Raymond Lee Smith, | |
12220 E 13 Mile Rd Ste 300, Warren, MI 48093-5000 | |
(586) 573-1810 | |
Not Available |
Full Name | Mr Raymond Lee Smith |
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Gender | Male |
Speciality | Psychologist |
Location | 12220 E 13 Mile Rd Ste 300, Warren, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841739133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 6301016719 (Michigan) | Secondary |
103T00000X | Psychologist | 21179070632 (Michigan) | Primary |
101Y00000X | Counselor | 6401019553 (Michigan) | Secondary |
Entity Name | County Of Macomb |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942532197 PECOS PAC ID: 4880581404 Enrollment ID: O20040301000018 |
Mailing Address | Practice Location Address |
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Mr Raymond Lee Smith, 21885 Dunham Rd Ste 1, Clinton Township, MI 48036-1030 Ph: (586) 469-5950 | Mr Raymond Lee Smith, 12220 E 13 Mile Rd Ste 300, Warren, MI 48093-5000 Ph: (586) 573-1810 |
Mackenzie Mcclellan, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8150 E 13 Mile Rd, Warren, MI 48093 Phone: 586-825-9700 | |
Amber Michon, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14081 La Chene Ave, Warren, MI 48088 Phone: 586-817-2432 | |
Dr. Sheila Joyce Eaton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 31201 Chicago Rd S, Suite A102, Warren, MI 48093 Phone: 586-795-4750 Fax: 586-795-4760 | |
Christine Brzezinski, MALLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8150 E 13 Mile Rd, Suite 100, Warren, MI 48093 Phone: 586-558-7472 | |
Christie Ladonna Chandler, HHP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8401 Kennedy Cir Unit 3, Warren, MI 48093 Phone: 586-843-7880 | |
Mr. Gerald E Poirier, MA LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11022 Sunburst Ave, Warren, MI 48089 Phone: 586-758-1084 | |
Ms. Kathleen Ann Andrulis, M.A., L.L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3701 E 13 Mile Rd Ste B, Warren, MI 48092 Phone: 586-274-0200 |