Kerry E Smith is a Clinical in Chicago, Illinois. Kerry E Smith practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kerry E Smith is 1760557789. The last update date is 2007-07-08.
Kerry E Smith's current location address is 55 E Washington St, Chicago, Illinois. You can contact this provider via phone number 3124190016 and fax number 3124221008. The mailing address for Kerry E Smith is 55 E Washington St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry E Smith |
|---|---|
| Address | 55 E Washington St, Chicago, Illinois |
| Phone Number | 3124190016 |
| Fax Number | 3124221008 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1760557789 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 55 E Washington St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606022103 |
| Phone Number | 3124190016 |
| Fax Number | 3124221008 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1627462 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kerry E Smith by the Centers for Medicare & Medicaid Services?
The Kerry E Smith has been assigned the NPI (National Provider Identifier) 1760557789 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Kerry E Smith is geographically located?
The Kerry E Smith is physically situated at the following location: 55 E Washington St, Chicago, IL, 606022103.
What is Kerry E Smith's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kerry E Smith is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1760557789 to Kerry E Smith?
The Kerry E Smith received its 1760557789 assignment from the Centers for Medicare & Medicaid Services on 2006-11-22.
When was the information regarding Kerry E Smith most recently updated?
The details pertaining to the Kerry E Smith, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN