person
Dr. Charles Michael Smith, PHD
Clinical Psychologist in Niles, Michigan
NPI 1790838811

Charles Michael Smith is a Clinical Psychologist based in Niles, MI and is specialized in Clinical. Charles Michael Smith practices in Niles, MI and has the professional credentials of PHD. The NPI Number for Charles Michael Smith is 1790838811 and holds a License No. 6301008141 (Michigan).

The current practice location address for Charles Michael Smith is 333 N 2Nd St, Niles, MI and can be reached out via phone at 269-687-9364 and via fax at 269-782-5344.

Location: 333 N 2Nd St, Niles, MI, 49120-2258
person
Provider Profile Details
NPI Number
1790838811
Provider Name
Charles Michael Smith
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
333 N 2Nd St, Niles, MI, 49120-2258
Phone Number
269-687-9364
Fax Number
269-782-5344
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
68-0-A1-3124 01 MI BCBSN PARTICIPATING PROV
institution
Provider Business Practice Location Address Details
Address
333 N 2Nd St
City
State
Zip
49120-2258
Phone Number
269-687-9364
Fax Number
269-782-5344
person
Provider Business Mailing Address Details
Address
333 N 2Nd St
City
State
Zip
49120-2258
Phone Number
269-687-9364
Fax Number
269-782-5344
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
License No.
6301008141 (Michigan)
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.
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