Individual
JEROME SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 TYRE AVE, NEWARK, DE 19711-7136
(302) 454-2047
(302) 454-5443
Mailing address
200 TYRE AVE, NEWARK, DE 19711-7136
(302) 454-2047
(302) 454-5443
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
38699
DE
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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