Michael Scott Smith, PSY

Clinical Psychologist · Lagrange, GA

Individual Active NPI

NPI number 1700304904

Practice location

610 Ridley Ave
Lagrange, GA 30240-2236
Phone
(706) 884-5050

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NPI record

NPI
1700304904
Entity type
Individual (Type 1)
Enumeration date
September 7, 2017
Last updated
January 31, 2023
Certified
January 31, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X PSY004636 GA
Professional Counselor 101YP2500X LPC009754 GA

About Michael Smith

Michael Scott Smith, PSY is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 610 Ridley Ave, Lagrange, GA 30240-2236. The NPI number 1700304904 was assigned on September 7, 2017 and the record was last updated on January 31, 2023.

Michael Smith lists 2 licenses in the registry: #PSY004636 (GA) for Clinical Psychologist; #LPC009754 (GA) for Professional Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Scott Smith, PSY?

The NPI number is 1700304904.

What is the phone number of Michael Smith?

The phone number listed for the practice location is (706) 884-5050.

Where is Michael Smith located?

610 Ridley Ave, Lagrange, GA 30240-2236.

What is the taxonomy code for Michael Smith?

The primary taxonomy code is 103TC0700X – Clinical Psychologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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