Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRIDGES WADE SMITH III, MS, LSPE
Active Sole ProprietorMR. BRIDGES WADE SMITH III, MS, LSPE is a Health Service Psychologist healthcare provider located in BRISTOL, Tennessee. NPI 1649694860 is currently active in the NPPES registry. Verify at CMS.
Health Service Psychologist · BRISTOL, TN
Registration Details
- NPI Number
- 1649694860
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 7, 2014 (12.548274287827 yrs)
- Last Updated
- Feb 7, 2014
- License
-
11716 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1241 VOLUNTEER PKWYSUITE 436BRISTOL, TN, 376204659Browse TN providers · Browse ZIP 37620
- Phone
- 4239902315
- Fax
- 4239902316
- Primary Specialty
-
Health Service Psychologist
103TH0100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.