Maurice Bradley Smith PH.D.,L.P.

NPI 1467547257 - Psychologist - 103TC0700X

NPI Details
NPI 1467547257
Gender Male
Enumeration Date 10/04/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3570 LEXINGTON AVE N
SUITE 100
SHOREVIEW MN, 55126-8049, US
Phone (651) 481-0664
Fax (651) 481-3907
Business Location
534 SPRINGHILL RD
VADNAIS HEIGHTS MN, 55127-8528, US
Phone (651) 490-9386
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Minnesota
License Number LP0783
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According to our database, Dr. Maurice Bradley Smith PH.D.,L.P. NPI is 1467547257, taxonomy code is 103TC0700X and license number is LP0783, license state is located at Minnesota. Maurice Bradley Smith PH.D.,L.P. physically located at 3570 Lexington Ave N, Shoreview MN, 55126-8049. NPI Number Maurice Bradley Smith PH.D.,L.P. has the Individual type.

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1467547257 NPI number is provided on an as is basis without warranty of any kind. 1467547257 is maintained by the National Plan & Provider Enumeration System. The contents of Maurice Bradley Smith PH.D.,L.P. are for informational purposes only.