Smith, Wayne Lauriston
Smith, Wayne Lauriston is an individual health care provider with primary practice located at 281 Independence Blvd Suite 326, Virginia Beach VA 23462-2986. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Smith, Wayne Lauriston can be contacted via phone (757) 490-0377.Contact Information
Primary practice address
281 Independence Blvd Suite 326
Virginia Beach VA 23462-2986
Phone: (757) 490-0377
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810001993 | Virginia |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 0810001993 | Virginia |
Profile Details
| NPI number | 1831158476 |
|---|---|
| LBN Legal business name | Smith, Wayne Lauriston |
| Credentials | PSYCHOLOGIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831158476 | NPPES |
| Virginia | Other | 0810001993 | CLINICAL PSYCHOLOGIST LIC |
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