Individual
DR. EDWARD D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
14953 S VAN DYKE RD, PLAINFIELD, IL 60544-5804
(815) 609-1544
(815) 609-1670
Mailing address
14953 S VAN DYKE RD, PLAINFIELD, IL 60544-5804
(815) 609-1544
(815) 609-1670
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006519
IL
Other
Enumeration date
08/10/2006
Last updated
06/17/2021
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