Individual
CHERYL FUNSCH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2031 N GREEN ACRES RD STE A, FAYETTEVILLE, AR 72703-2619
(615) 618-5166
Mailing address
169 PRINCESS CIR, FRANKLIN, TN 37064-1422
(615) 618-5166
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS008859L
PA
103TC0700X
Clinical Psychologist
Primary
20-07P
AR
103TC0700X
Clinical Psychologist
3206
TN
Other
Enumeration date
12/27/2013
Last updated
06/11/2020
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