Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Maurice Bradley Smith, PHD, LP

Individual provider Clinical Psychologist · NPI 1467547257

Dr. Maurice Bradley Smith, PHD, LP is a Clinical Psychologist in Roseville, Minnesota. Graduated from Wayne State University School of Medicine in 1988, 38 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
38
Trained at
Wayne State University School of Medicine
Licensed in
MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1935 County Road B2 W Ste 270
Roseville, MN 55113-2785
Phone: (651) 481-0664
Fax: (651) 846-5877
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP0783 (MN)
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X · Licence LP0783 (MN)

Record details

NPI number1467547257
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LP
Sole proprietorYes
NPI enumeratedOctober 4, 2006
Last updated in NPPESFebruary 6, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Not indicated

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