MEDICARE: ASHLEY E SMITH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	R9690	TX
2	2084P0800X	Psychiatry Physician	EMC0008615	MI
3	2084P0800X	Psychiatry Physician	36117	WV

General Provider Information

NPI Number	:	1588083760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY E SMITH

Provider Business Mailing Address
First Line	:	1 FORD PL STE 3A
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48202-3450
Country	:	US
Telephone Number	:	800-999-5829
Fax Number	:	313-876-1305

Provider Business Practice Location Address
First Line	:	1502 TAUB LOOP
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1608
Country	:	US
Telephone Number	:	713-970-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2014
Last Update Date	:	03/30/2026

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Directions to “ ASHLEY E SMITH ” Practice Location

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