Individual
DR. JAY ANDREW SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
582 MALLARD POINT DR, NORTH AURORA, IL 60542-1281
(630) 945-6565
Mailing address
582 MALLARD POINT DR, NORTH AURORA, IL 60542-1281
(630) 945-6565
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.007692
IL
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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