Charles Smith, PH.D

NPI 1790838811 · on the registry since 2007 · sole proprietor

Practice

Address: 333 N 2nd St
Suite # 304
Niles, MI 49120
Phone: (269) 687-9364
Fax: (269) 782-5344
Organisation at this address: Thomson'S Physical Therapy
M Longley Counseling And Consulting Services, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan