Doctor Name: | ZACHARY J SMITH |
NPI Number: | 1114314036 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 1570 Suncrest Dr Lapeer, MI - 484461154 |
Business Phone Number: | 8106670500 |
Business Fax Number: | 8106648728 |
Mailing Address: | 1570 Suncrest Dr, LAPEER |
State: | MI |
Postal Code: | 484461154 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/17/2015 |
NPI Last Update Date: | 07/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |