Wanda Denise Smith
Clinical Psychologist Clinical Child & Adolescent Psychologist
17100 Dixie Hwy Ste D
Hazel Crest
, Illinois 60429-1485
Wanda Denise Smith
Clinical Psychologist Clinical Child & Adolescent Psychologist
17100 Dixie Hwy Ste D
Hazel Crest
, Illinois 60429-1485
(331) 643-5238
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About
Features
Specialties
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Wanda Denise Smith
- 11344 S Hermosa Ave
- Chicago, IL
- Zip : 60643-4279
- Phone : (331) 643-5238
Second Address
- Wanda Denise Smith
- 17100 Dixie Hwy Ste D
- Hazel Crest, IL
- Zip : 60429-1485
- Fax : (708) 991-7320
- Phone : (331) 643-5238
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FAQs
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Is Wanda Denise Smith a sole practitioner?
Is Wanda Denise Smith accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 8KUSC7H7 | IL |
| Y | 103TC0700X | Clinical Psychologist | 8KUSC7H7 | IL |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | KWN75FB9 | IL |
National Provider Identifier
| NPI | 1114550688 |
|---|---|
| Provider Name | Wanda Denise Smith |
| First Address | Chicago, IL 60643-4279 |
| Second Address | Hazel Crest, IL 60429-1485 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/02/2020 |
| Last Update Date | 12/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 36369473001 | (05) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.