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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WANDA DENISE SMITH, CPSYC HCPROF

Active Sole Proprietor

WANDA DENISE SMITH, CPSYC HCPROF is a Clinical Psychologist healthcare provider located in HAZEL CREST, Illinois. NPI 1114550688 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · HAZEL CREST, IL

Registration Details

NPI Number
1114550688
Provider Type
Individual
Gender
Female
NPI Issued
Feb 12, 2020 (6.5387363139385 yrs)
Last Updated
Feb 12, 2020
Licenses
KWN75FB9 (IL)
8KUSC7H7 (IL)
8KUSC7H7 (IL)
8KUSC7H7 (IL)
Sole Proprietor
Yes

Practice Information

Address
17100 DIXIE HWY STE D
HAZEL CREST, IL, 604291485
Browse IL providers · Browse ZIP 60429
Phone
3316435238
Fax
7089917320
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Community Health Worker
Additional Specialty
Community Health Center
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in HAZEL CREST, IL

Name Credential NPI
DR. ELIEZER L. SCHWARTZ PH.D. 1447510896
MARILYN C SCOTT PSY.D 1194066019
OZELLA BARNES 1972998748
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.