Smith, Steven Morris

Smith, Steven Morris is an individual health care provider with primary practice located at 1930 Coon Rapids Blvd Family Life Mental Health Center, Coon Rapids MN 55433. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Smith, Steven Morris can be contacted via phone (763) 427-7964.

Contact Information

Primary practice address
1930 Coon Rapids Blvd Family Life Mental Health Center Coon Rapids MN 55433
Phone: (763) 427-7964
Fax: (763) 427-7976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP1569 Minnesota

Profile Details

NPI number 1063475408
LBN Legal business name Smith, Steven Morris
Credentials PSYD LP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Dec 10th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063475408 NPPES
Minnesota Other 346M1SM BCBS
Minnesota Other 6141179 BCBS
Minnesota Other 1006996 BCBS
Minnesota MEDICAID 853252400 BCBS
Minnesota Other HP33678 BCBS
Minnesota Other 108293 BCBS

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