WANDA DENISE SMITH, CPSYC HCPROF
Psychologist - Clinical
Active
Individual
NPI: 1114550688
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Clinical Child & Adolescent | 103TC2200X | No | KWN75FB9 (IL) |
| Community Health Worker | 172V00000X | No | 8KUSC7H7 (IL) |
| Clinic/Center - Community Health | 261QC1500X | No | 8KUSC7H7 (IL) |
| Psychologist - Clinical | 103TC0700X | Yes | 8KUSC7H7 (IL) |
Frequently Asked Questions
NPI 1114550688 is the National Provider Identifier for WANDA DENISE SMITH, CPSYC HCPROF, a Psychologist - Clinical provider located in Hazel Crest, IL. This NPI was enumerated on February 12, 2020.
WANDA DENISE SMITH, CPSYC HCPROF practices at 17100 DIXIE HWY STE D, Hazel Crest, IL 60429.
Quick Facts
- NPI
- 1114550688
- Type
- Individual
- Enumerated
- Feb 12, 2020
- Last Updated
- Feb 12, 2020
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