Organization
BRIDGES W. SMITH, P.C.
Active
Other names
Bristol Evaluation Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIDGES WADE SMITH III M.S., LSPE (SENIOR PSYCHOLOGICAL EXAMINER)
(423) 990-2315
Entity
Organization
Contact information
Practice address
1241 VOLUNTEER PKWY, STE 436, BRISTOL, TN 37620-4659
(423) 990-2315
(423) 990-2316
Mailing address
1241 VOLUNTEER PKWY, STE 436, BRISTOL, TN 37620-4659
(423) 990-2315
(423) 990-2316
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
11716
TN
261QM0855X
Adolescent and Children Mental Health Clinic/Center
11716
TN
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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