Dr. Paul Lucki Smith
Clinical Psychologist Addiction Psychologist (Substance Use Disorder)
15655 33 Mile Rd
Armada
, Michigan 48005-3400
Dr. Paul Lucki Smith
Clinical Psychologist Addiction Psychologist (Substance Use Disorder)
15655 33 Mile Rd
Armada
, Michigan 48005-3400
(586) 747-0206
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About
Features
Specialties
- Clinical Psychologist
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Dr. Paul Lucki Smith
- 15655 33 Mile Rd
- Armada, MI
- Zip : 48005-3400
- Phone : (586) 747-0206
Second Address
- Dr. Paul Lucki Smith
- 15655 33 Mile Rd
- Armada, MI
- Zip : 48005-3400
- Phone : (586) 747-0206
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | ||
| N | 103TC0700X | Clinical Psychologist | ||
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
| Y | 103G00000X | Clinical Psychologist | 6301012845 | MI |
| Y | 103TC0700X | Clinical Psychologist | 6301012845 | MI |
National Provider Identifier
| NPI | 1376533265 |
|---|---|
| Provider Name | Dr. Paul Lucki Smith |
| First Address | Armada, MI 48005-3400 |
| Second Address | Armada, MI 48005-3400 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2005 |
| Last Update Date | 06/10/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.