Jan L Smith MA

NPI 1336274422 - Psychologist - 103T00000X

NPI Details
NPI 1336274422
Gender Female
Enumeration Date 02/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
18208 DOLPHIN LAKE DRIVE
HOMEWOOD IL, 60430-1507, US
Phone (708) 957-3303
Fax (708) 957-3764
Business Location
18208 DOLPHIN LAKE DRIVE
HOMEWOOD IL, 60430-1507, US
Phone (708) 957-9032
Fax (708) 957-3764
Toxanomy
Taxonomy Code 103T00000X
License State
License Number
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According to our database, Ms. Jan L Smith MA NPI is 1336274422, taxonomy code is 103T00000X Jan L Smith MA physically located at 18208 Dolphin Lake Drive, Homewood IL, 60430-1507. NPI Number Jan L Smith MA has the Individual type.

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1336274422 NPI number is provided on an as is basis without warranty of any kind. 1336274422 is maintained by the National Plan & Provider Enumeration System. The contents of Jan L Smith MA are for informational purposes only.