NPI 1003167909

Michael David Smith, PSYD

Practitioner Psychologist La Crosse, WI

Practice location

Address: 1836 South Ave, La Crosse, WI 54601-5429
Phone: (608) 782-7300

Registered specialties (2)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 3168 (WI)

Other Psychologist providers in Wisconsin →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PS015414 (PA)

Registry record

NPI: 1003167909
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2012
Record last updated: 9 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.