MEDICARE: TUESDAY L SMITH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	0810004686	VA

General Provider Information

NPI Number	:	1912220831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TUESDAY L SMITH

Provider Business Mailing Address
First Line	:	648 KINGS GRANT RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-7036
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1550 WILSON BLVD STE 600
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22209-2490
Country	:	US
Telephone Number	:	703-526-5837
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2010
Last Update Date	:	10/30/2025

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Directions to “ TUESDAY L SMITH ” Practice Location

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