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Dr. Maurice Bradley Smith, PHD,LP
Intellectual & Developmental Disabilities Psychologist in Roseville, Minnesota
NPI 1467547257

Maurice Bradley Smith is a Intellectual & Developmental Disabilities Psychologist based in Roseville, MN and is specialized in Intellectual & Developmental Disabilities. Maurice Bradley Smith practices in Roseville, MN and has the professional credentials of PHD,LP. The NPI Number for Maurice Bradley Smith is 1467547257 and holds a License No. LP0783 (Minnesota).

The current practice location address for Maurice Bradley Smith is 1935 County Road B2 W Ste 270, Roseville, MN and can be reached out via phone at 651-481-0664 and via fax at 651-846-5877.

Location: 1935 County Road B2 W Ste 270, Roseville, MN, 55113-2785
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467547257
Provider Name
Maurice Bradley Smith
Credential
PHD,LP
Provider Entity Type
Individual
Gender
Male
Address
1935 County Road B2 W Ste 270, Roseville, MN, 55113-2785
Phone Number
651-481-0664
Fax Number
651-846-5877
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HP21325 01 MN HEALTH PARTNERS INSURANCE
27F90SM 01 MN BLUE CROSS/BLUE SHIELD
6150656 01 MN MEDICA/UNITED BEH. HEALTH
680016304 01 MN RAIL ROAD MEDICARE
092353200 05 MN
institution
Provider Business Practice Location Address Details
Address
1935 County Road B2 W Ste 270
City
Roseville
State
Minnesota
Zip
55113-2785
Phone Number
651-481-0664
Fax Number
651-846-5877
person
Provider Business Mailing Address Details
Address
1935 County Road B2 W Ste 270
City
Roseville
State
Minnesota
Zip
55113-2785
Phone Number
651-481-0664
Fax Number
651-846-5877
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
LP0783 (Minnesota)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Intellectual & Developmental Disabilities
Taxonomy
103TM1800X
License No.
LP0783 (Minnesota)
Definition
Definition to come...
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