Individual
DR. CAROL SMITH-HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
199 E 70TH AVE, MERRILLVILLE, IN 46410-3679
(219) 650-5307
Mailing address
1069 HOBART ST, GARY, IN 46406-1941
(219) 670-8376
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
10199408
IN
103TS0200X
School Psychologist
Primary
10199408
IN
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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