Individual
DIANA A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ED. S
Contact information
Practice address
7000 W TANNERS CREEK DR, NORFOLK, VA 23513-1151
(757) 852-4630
Mailing address
341 N ROSEMONT RD APT 101, VIRGINIA BEACH, VA 23452-3436
(562) 841-0434
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
08130001153
VA
Other
Enumeration date
05/15/2021
Last updated
05/15/2021
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