Smith, David Wade

Smith, David Wade is an sole proprietor health care provider with primary practice located at 313 Vista St Sw , Fort Walton Beach FL 32548-6519. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Smith, David Wade can be contacted via phone (850) 244-2621.

Contact Information

Primary practice address
313 Vista St Sw Fort Walton Beach FL 32548-6519
Phone: (850) 244-2621
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT1019 Florida

Profile Details

NPI number 1659406767
LBN Legal business name Smith, David Wade
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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