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Contact Information

BRENT R SMITH, PSY.D.
6692 SPRING ARBOR RD
JACKSON, MI49201
 Phone: 517-750-3869
 Fax: 517-750-3869
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRENT R SMITH · (Male)

NPI # 1558475012
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 08/19/2006
Last updated 08/17/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 6301008782
  • MI Other 680C845330 BLUE CROSS BLUE SHIELD MI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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