Individual
JARED ANDRE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3715 SHEPPERTON BLVD, INDIANAPOLIS, IN 46228-2965
(205) 527-8107
Mailing address
3715 SHEPPERTON BLVD, INDIANAPOLIS, IN 46228-2965
(205) 527-8107
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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