| Doctor Name: | MR. CRAIG A SMITH |
| NPI Number: | 1154472637 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS, LLP |
| License Number: | 6301007730 |
| Business Practice Address: | 50 Filer St Suite 320 Manistee, MI - 496602726 |
| Business Phone Number: | 2313980948 |
| Business Fax Number: | |
| Mailing Address: | Po Box 304, EASTLAKE |
| State: | MI |
| Postal Code: | 496260304 |
| Phone Number: | 2317237532 |
| Fax Number: | |
| NPI Enumeration Date: | 01/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301007730 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |