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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MAURICE BRADLEY SMITH, PH.D.,L.P.

Active Sole Proprietor

DR. MAURICE BRADLEY SMITH, PH.D.,L.P. is a Clinical Psychologist healthcare provider located in ROSEVILLE, Minnesota. NPI 1467547257 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · ROSEVILLE, MN

Registration Details

NPI Number
1467547257
Provider Type
Individual
Gender
Male
NPI Issued
Oct 4, 2006 (19.821353136549 yrs)
Last Updated
Feb 6, 2019
Licenses
LP0783 (MN)
LP0783 (MN)
Sole Proprietor
Yes

Practice Information

Address
1935 COUNTY ROAD B2 W STE 270
ROSEVILLE, MN, 551132785
Browse MN providers · Browse ZIP 55113
Phone
6514810664
Fax
6518465877
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in ROSEVILLE, MN

Name Credential NPI
DR. TODD MICHAEL SIGLER PSY.D., LP, NCC 1295738029
DR. GAIL HEGEMAN PH D 1114910049
DR. KIRSTEN LOUISE SCHOENLEBER PH.D. 1962466342
REGINA M DRISCOLL PHD LP 1891808424
DR. JANE A COFFEY PSY.D. 1780728782
DR. SAMUEL ALBERT PH.D. 1962538264
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.