| Doctor Name: | MICHAEL J SMUKLER |
| NPI Number: | 1013243799 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 000007215 |
| Business Practice Address: | 338 Main St Suite 203 Wakefield, MA - 018805042 |
| Business Phone Number: | 7812461964 |
| Business Fax Number: | 7182133470 |
| Mailing Address: | 338 Main St, Suite 203 WAKEFIELD |
| State: | MA |
| Postal Code: | 018805042 |
| Phone Number: | 7812461964 |
| Fax Number: | 7182133470 |
| NPI Enumeration Date: | 10/30/2009 |
| NPI Last Update Date: | 10/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 000007215 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |