Taryn Lee Smith, SSP

NPI #1821552613 in Salem, Illinois

Provider Information

NPI Number
1821552613
Entity Type
Individual
Name
Taryn Lee Smith, SSP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - School
Credential
SSP
Enumeration Date
Jan 25, 2019
Last Updated
Jan 25, 2019

Practice Location

Address
3665 COUNTRY VIEW PL
City
Salem
ZIP Code
62881-6419
Phone
(618) 315-8235

Specialties & Taxonomy Codes

Specialty
Psychologist - SchoolSchool

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