Individual
NICHOLAS ZANE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDS.
Contact information
Practice address
124 OHIO AVE, TIFFIN, OH 44883-1764
(419) 455-9107
(419) 448-5221
Mailing address
1190 CHAMBERS RD APT 210C, COLUMBUS, OH 43212-1724
(661) 912-7595
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH3256742
OH
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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