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Individual

DR. STEPHEN C SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A., PSY.D.

Contact information

Practice address
2035 E STONEBROOK PL, KINGSPORT, TN 37660-4000
(423) 282-1480
(423) 928-1353
Mailing address
PO BOX 4018, JOHNSON CITY, TN 37602-4018
(423) 282-1480
(423) 928-1353

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2783
TN

Other

Enumeration date
10/17/2006
Last updated
03/17/2018
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