| Doctor Name: | DIANE SHARON SMITH |
| NPI Number: | 1558573154 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD MSW APRN BC CNS |
| License Number: | 6801017113 |
| Business Practice Address: | 119 Kercheval Ave Grosse Pointe Farms, MI - 48236 |
| Business Phone Number: | 3138812010 |
| Business Fax Number: | 3138827424 |
| Mailing Address: | 1506 Lochmoor Boulevard, GROSSE POINTE WOODS |
| State: | MI |
| Postal Code: | 482364016 |
| Phone Number: | 3138850099 |
| Fax Number: | 3138827424 |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801017113 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |