Smith, Shelly M
Smith, Shelly M is an sole proprietor health care provider with primary practice located at 15300 Watertown Plank Rd Ste 106 , Elm Grove WI 53122-2348. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Smith, Shelly M can be contacted via phone (312) 635-4354.Contact Information
Primary practice address
15300 Watertown Plank Rd Ste 106
Elm Grove WI 53122-2348
Phone: (312) 635-4354
Fax: (888) 717-3028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 166.001023 | Illinois |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 1102-124 | Wisconsin |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 35001994A | Indiana |
Profile Details
| NPI number | 1295108504 |
|---|---|
| LBN Legal business name | Smith, Shelly M |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2015 |
| Last updated | Feb 2nd, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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