Individual
SUSAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
465 W 15TH ST, FRONT ROYAL, VA 22630-2835
(540) 645-2725
Mailing address
465 W 15TH ST, FRONT ROYAL, VA 22630-2835
(540) 645-2725
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PPS-0603906
VA
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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