Individual
DR. KELLY ELIZABETH SMERZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6110 N PORT WASHINGTON RD, GLENDALE, WI 53217-4308
(414) 962-1000
(414) 963-6866
Mailing address
6110 N PORT WASHINGTON RD, GLENDALE, WI 53217-4308
(414) 962-1000
(414) 963-6866
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2653-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40947900
—
WI
Enumeration date
12/14/2006
Last updated
07/20/2010
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