Paul Smiley is a Clinical in Lake Forest, Illinois. Paul Smiley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Paul Smiley is 1588861579. The last update date is 2021-05-13.
Paul Smiley's current location address is 840 S Waukegan Rd Ste 203, Lake Forest, Illinois. You can contact this provider via phone number 8474205088. The mailing address for Paul Smiley is 840 S Waukegan Rd Ste 203, Lake Forest, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Smiley |
|---|---|
| Address | 840 S Waukegan Rd Ste 203, Lake Forest, Illinois |
| Phone Number | 8474205088 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D., AB |
NPI Number Detail
| NPI Number | 1588861579 |
|---|---|
| Provider Enumeration Date | 2007-07-02 |
| Last Updated Date | 2021-05-13 |
Provider Mailing Address Detail
| Address | 840 S Waukegan Rd Ste 203 |
|---|---|
| City | Lake Forest |
| State | Illinois (IL) |
| Post Code | 600452619 |
| Phone Number | 8474205088 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71.007555 |
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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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What is the Paul Smiley's unique identification number?
The Paul Smiley has been assigned the NPI (National Provider Identifier) Number 1588861579 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Paul Smiley?
The Paul Smiley is situated at 840 S Waukegan Rd Ste 203, in the city of Lake Forest, state of IL, with the zip code 600452619.
What is Paul Smiley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Paul Smiley's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1588861579 to Paul Smiley?
The Paul Smiley received its 1588861579 assignment from the Centers for Medicare & Medicaid Services on 2007-07-02.
As of what date were the details related to Paul Smiley most recently updated or revised?
The information pertaining to Paul Smiley, including its address, specialty, and other relevant details, was last updated or revised on 2021-05-13.