Individual
MS. TARA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
NAVY SUICIDE PREVENTION OPNAV N171, 5720 INTEGRITY DRIVE, BLDG 457, MILLINGTON, TN 38055-0001
(901) 874-6943
Mailing address
NAVY SUICIDE PREVENTION OPNAV N171, 5720 INTEGRITY DRIVE, BLDG 457, MILLINGTON, TN 38055-0001
(901) 874-6943
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-774
HI
Other
Enumeration date
12/02/2005
Last updated
04/19/2017
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