IndividualActive
Alexis Smith
NPI 1912592114 · Psychologist · Ypsilanti, MI
Provider details
- NPI number
- 1912592114
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6362010146 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Practice location
334 Jarvis St Apt 109
Ypsilanti, MI 48197-8132
Phone: (819) 588-3374
Approximate (ZIP-level) locationGet directions
Mailing address
334 Jarvis St Apt 209
Ypsilanti, MI 48197-8133
Registry dates
- Enumerated
- 2021-03-09
- Last updated
- 2025-05-22
- Certified
- 2025-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.