Individual
DR. WAYNE LAURISTON SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
281 INDEPENDENCE BLVD, SUITE 326, VIRGINIA BEACH, VA 23462-2986
(757) 490-0377
Mailing address
281 INDEPENDENCE BLVD, SUITE 326, VIRGINIA BEACH, VA 23462-2986
(757) 490-0377
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810001993
VA
103TF0200X
Forensic Psychologist
Primary
0810001993
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810001993
CLINICAL PSYCHOLOGIST LIC
VA
Enumeration date
03/22/2006
Last updated
09/11/2025
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