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Mr. Bridges Wade Smith III, MS,LSPE
Health Service Psychologist in Bristol, Tennessee
NPI 1649694860

Bridges Wade Smith III is a Health Service Psychologist based in Bristol, TN and is specialized in Health Service. Bridges Wade Smith III practices in Bristol, TN and has the professional credentials of MS,LSPE. The NPI Number for Bridges Wade Smith III is 1649694860 and holds a License No. 11716 (Tennessee).

The current practice location address for Bridges Wade Smith III is 1241 Volunteer Pkwy, Bristol, TN and can be reached out via phone at 423-990-2315 and via fax at 423-990-2316.

Location: 1241 Volunteer Pkwy, Bristol, TN, 37620-4659
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649694860
Provider Name
Bridges Wade Smith III
Credential
MS,LSPE
Provider Entity Type
Individual
Gender
Male
Address
1241 Volunteer Pkwy, Bristol, TN, 37620-4659
Phone Number
423-990-2315
Fax Number
423-990-2316
Provider Enumeration Date
02/07/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1241 Volunteer Pkwy
City
Bristol
State
Tennessee
Zip
37620-4659
Phone Number
423-990-2315
Fax Number
423-990-2316
person
Provider Business Mailing Address Details
Address
1241 Volunteer Pkwy
City
Bristol
State
Tennessee
Zip
37620-4659
Phone Number
423-990-2315
Fax Number
423-990-2316
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
11716 (Tennessee)
Definition
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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