Individual
DR. ELIZABETH NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
11800 S 75TH AVE STE 300, PALOS HEIGHTS, IL 60463-1064
(708) 671-8440
(708) 671-8664
Mailing address
11800 S 75TH AVE STE 300, PALOS HEIGHTS, IL 60463-1064
(708) 671-8440
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043115A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071.010238
LICENSE NUMBER
IL
Enumeration date
03/01/2018
Last updated
09/11/2025
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