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Contact Information

MIKAYLA SMITH
8550 HUDSON BLVD N
LAKE ELMO, MN55042-5500
 Phone: 612-371-5400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health, Child & Adolescent

163WP0807X
Indicates primary specialty

NPI Profile & details for MIKAYLA SMITH · (Female)

NPI Number 1336036466
Status Active
Credentials
Entity Individual
Enumeration date 06/20/2025
Last updated 06/20/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • MN License # 2470382
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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