Wanda Denise Smith, CPSYCHCPROF
Wanda Denise Smith, CPSYCHCPROF is a Clinical Child & Adolescent Psychologist in Hazel Crest, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2020
- Specialties on file
- 4
Practice location Address checks out
17100 Dixie Hwy Ste DHazel Crest, IL 60429-1485
Phone: (331) 643-5238
Fax: (708) 991-7320
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 11344 S Hermosa Ave, Chicago, IL 60643-4279 — (331) 643-5238
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 8KUSC7H7 (IL) |
|---|---|
| Clinical Child & Adolescent Psychologist | Taxonomy 103TC2200X · Licence KWN75FB9 (IL) |
| Community Health Worker | Taxonomy 172V00000X · Licence 8KUSC7H7 (IL) |
| Community Health Clinic/Center | Taxonomy 261QC1500X · Licence 8KUSC7H7 (IL) |
Record details
| NPI number | 1114550688 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CPSYCHCPROF |
| Sole proprietor | Yes |
| NPI enumerated | February 12, 2020 |
| Last updated in NPPES | February 12, 2020 |
| Certification date | February 12, 2020 |