Wanda Denise Smith, CPSYC HCPROF
NPI #1114550688 in Hazel Crest, Illinois
Provider Information
- NPI Number
- 1114550688
- Entity Type
- Individual
- Name
- Wanda Denise Smith, CPSYC HCPROF
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- CPSYC HCPROF
- Enumeration Date
- Feb 12, 2020
- Last Updated
- Feb 12, 2020
Practice Location
- Address
- 17100 DIXIE HWY STE D
- City
- Hazel Crest
- State
- Illinois
- ZIP Code
- 60429-1485
- Phone
- (331) 643-5238
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent |
| Community Health Worker |
| Clinic/Center - Community Health — Community Health |
| Psychologist - Clinical — Clinical |
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