Parkside Psychological Services, LLC
NPI #1295100485 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1295100485
- Entity Type
- Organization
- Organization Name
- Parkside Psychological Services, LLC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Dec 14, 2015
- Last Updated
- Jun 7, 2021
Practice Location
- Address
- 840 S WAUKEGAN RD STE 203
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-2619
- Phone
- (847) 420-5088
Authorized Official
- Name
- DR. PAUL SMILEY, PSYD, ABPP
- Title
- CLINICAL PSYCHOLOGIST
- Phone
- (847) 420-5088
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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