Individual
MAUREEN CARROLL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3222 CHESTNUT HILL SCHOOL RD, DANDRIDGE, TN 37725-7238
(865) 509-6611
(865) 509-8811
Mailing address
PO BOX 577, NEWPORT, TN 37822-0577
(423) 613-3300
(423) 623-4088
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3367
TN
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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