Individual
NATHAN TYE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 TUSKEGEE BLVD, DOVER AFB, DOVER, DE 19902
(810) 516-9678
Mailing address
150 KEARSNEY CT UNIT B1, DOVER, DE 19901
(810) 516-9678
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/10/2008
Last updated
09/28/2010
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