Individual provider · Type 1 NPI
Wilbert Smith, CLINICAL PSYCH
Student in an Organized Health Care Education/Training Program · El Segundo, CA
Practice location
877 N Douglas St., Pacific Psychological Ass.
El Segundo, CA 90242
Fax (310) 504-2249
Mailing address
PO Box 1776
Los Angeles, CA 90001-0776
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | PSB94028313 (CA) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in El Segundo
About NPI 1619852522
Wilbert Smith, CLINICAL PSYCH's National Provider Identifier is 1619852522, issued on Aug 8, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in El Segundo, CA. The record was last updated on Aug 8, 2026.