Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wanda Denise Smith, CPSYCHCPROF

Individual provider Clinical Child & Adolescent Psychologist · NPI 1114550688

Wanda Denise Smith, CPSYCHCPROF is a Clinical Child & Adolescent Psychologist in Hazel Crest, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
Specialties on file
4

Practice location Address checks out

17100 Dixie Hwy Ste D
Hazel Crest, IL 60429-1485
Phone: (331) 643-5238
Fax: (708) 991-7320
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11344 S Hermosa Ave, Chicago, IL 60643-4279 — (331) 643-5238

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 8KUSC7H7 (IL)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence KWN75FB9 (IL)
Community Health Worker Taxonomy 172V00000X · Licence 8KUSC7H7 (IL)
Community Health Clinic/Center Taxonomy 261QC1500X · Licence 8KUSC7H7 (IL)

Record details

NPI number1114550688
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPSYCHCPROF
Sole proprietorYes
NPI enumeratedFebruary 12, 2020
Last updated in NPPESFebruary 12, 2020
Certification dateFebruary 12, 2020
Mailing address11344 S Hermosa Ave, Chicago, IL 60643-4279