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Individual

DR. SUSAN R SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
100 S ATKINSON RD, SUITE 203, GRAYSLAKE, IL 60030-7817
(847) 543-8378
(847) 543-9424
Mailing address
1438 THIMBLEWEED RD, GRAYSLAKE, IL 60030-3563
(847) 543-8378
(847) 543-9424

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
IL
103TC0700X
Clinical Psychologist
IL
103TC2200X
Clinical Child & Adolescent Psychologist
IL
103TF0000X
Family Psychologist
IL

Other

Enumeration date
01/16/2007
Last updated
09/11/2025
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