Healthcare Provider Details

I. General information

NPI: 1588098404
Provider Name (Legal Business Name): ERIN PAIGE SMITH PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN MASON

II. Dates (important events)

Enumeration Date: 08/27/2013
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5656 S CEDAR ST
LANSING MI
48911-3894
US

IV. Provider business mailing address

5656 S CEDAR ST
LANSING MI
48911-3894
US

V. Phone/Fax

Practice location:
  • Phone: 517-267-3925
  • Fax:
Mailing address:
  • Phone: 734-552-8861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6301018095
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: