Individual
JUDY L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
641 OAKLEAF OFFICE LN, SUITE 3, MEMPHIS, TN 38117-4819
(901) 680-0080
(901) 383-1507
Mailing address
641 OAKLEAF OFFICE LN, SUITE 3, MEMPHIS, TN 38117-4819
(901) 680-0080
(901) 383-1507
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P1046
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0127281
BCBS ID NUMBER
TN
Enumeration date
08/16/2006
Last updated
07/08/2007
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