Individual
DEIDRA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DISABILITY COACH
Contact information
Practice address
144 KINGS HWY, SUITE 302, DOVER, DE 19901-7308
(302) 677-1555
(206) 888-4342
Mailing address
144 KINGS HWY, SUITE 302, DOVER, DE 19901-7308
(302) 677-1555
(206) 888-4342
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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