Individual
MISS TAMMIE LYNN SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1422 E MAIN ST, SUITE 4, PRINCETON, WV 24740-3046
(304) 425-3327
(304) 425-4577
Mailing address
1422 E MAIN ST, SUITE 4, PRINCETON, WV 24740-3046
(304) 425-3327
(304) 425-4577
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
753
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9204104-000
—
WV
Enumeration date
08/16/2005
Last updated
07/09/2007
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