Individual provider · Type 1 NPI

Bridges Wade Smith Iii, MS, LSPE

Health Service Psychologist · Bristol, TN

NPI number 1649694860 Active

Practice location

1241 Volunteer Pkwy, Suite 436
Bristol, TN 37620-4659

Fax (423) 990-2316

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100X11716 (TN)

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

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About NPI 1649694860

Bridges Wade Smith Iii, MS, LSPE's National Provider Identifier is 1649694860, issued on Feb 7, 2014. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Bristol, TN. The record was last updated on Feb 7, 2014.