Smith, Debra L
Smith, Debra L is an individual health care provider with primary practice located at 112 W Washington St Suite C, Marquette MI 49855. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Debra L can be contacted via phone (906) 225-1776.Contact Information
Primary practice address
112 W Washington St Suite C
Marquette MI 49855
Phone: (906) 225-1776
Fax: (906) 225-1781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301008288 | Michigan |
Profile Details
| NPI number | 1508884032 |
|---|---|
| LBN Legal business name | Smith, Debra L |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Aug 27th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508884032 | NPPES |
| Michigan | Other | 680E210310 | BCBS |
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