Individual
LOGAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
116 AGNES RD STE 200, KNOXVILLE, TN 37919-6306
(615) 763-5339
Mailing address
PO BOX 70036, NASHVILLE, TN 37207-0036
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2400
AL
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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