Doctor Name: | MS. MICHELL SANDRA SMITH |
NPI Number: | 1518255140 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 6801083892 |
Business Practice Address: | 19960 Wyoming St Detroit, MI - 482211598 |
Business Phone Number: | 3132824291 |
Business Fax Number: | |
Mailing Address: | 19960 Wyoming St, DETROIT |
State: | MI |
Postal Code: | 482211598 |
Phone Number: | 3132824291 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2011 |
NPI Last Update Date: | 05/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | 6801083892 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |