Individual
TASHEKAH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA VA MEDICAL CENTER, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
6528 GESNER ST, PHILADELPHIA, PA 19142-2204
(215) 880-3687
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017399
PA
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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