Individual
MR. BRIDGES WADE SMITH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LSPE
Contact information
Practice address
1241 VOLUNTEER PKWY, SUITE 436, BRISTOL, TN 37620-4659
(423) 990-2315
(423) 990-2316
Mailing address
1241 VOLUNTEER PKWY, SUITE 436, BRISTOL, TN 37620-4659
(423) 990-2315
(423) 990-2316
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
11716
TN
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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