Organization
C.Y. SMITH & ASSOCIATES, INC
Active
Other names
The Samuel Center for Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL YVONNE SMITH PHD, MA, PHD (CEO/PRESIDENT)
(414) 354-3620
Entity
Organization
Contact information
Practice address
4465 N OAKLAND AVE, SHOREWOOD, WI 53211-1662
(414) 847-9351
Mailing address
4465 N OAKLAND AVE, SHOREWOOD, WI 53211-1662
(414) 354-3620
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1924
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42201900
—
WI
Enumeration date
10/20/2006
Last updated
01/17/2008
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