Individual
TARA DEVI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
13855 HEDGEWOOD DRIVE, #245, WOODBRIDGE, VA 22193
(703) 490-0336
Mailing address
13855 HEDGEWOOD DRIVE, #245, WOODBRIDGE, VA 22193
(703) 490-0336
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY1000948
DC
103TC0700X
Clinical Psychologist
Primary
0810005135
VA
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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