Individual provider · Type 1 NPI

Wanda Denise Smith, CPSYC HCPROF

Clinical Psychologist · Hazel Crest, IL

NPI number 1114550688 Active

Practice location

17100 Dixie Hwy Ste D
Hazel Crest, IL 60429-1485

Fax (708) 991-7320

Mailing address

11344 S Hermosa Ave
Chicago, IL 60643-4279

Other practice locations

  • 11344 S Hermosa Ave, Chicago, IL 60643-4279 · (331) 643-5238

Specialties and licenses

TaxonomyCodeLicense
Clinical Child & Adolescent Psychologist 103TC2200XKWN75FB9 (IL)
Community Health Worker 172V00000X8KUSC7H7 (IL)
Community Health Clinic/Center 261QC1500X8KUSC7H7 (IL)
Clinical Psychologist Primary 103TC0700X8KUSC7H7 (IL)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1114550688

Wanda Denise Smith, CPSYC HCPROF's National Provider Identifier is 1114550688, issued on Feb 12, 2020. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Hazel Crest, IL. The record was last updated on Feb 12, 2020.