Individual
DR. WAYNE LAURISTON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
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
07/13/2026
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