| Doctor Name: | PAMELA GEHANT-SMITH |
| NPI Number: | 1215102694 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.P.C. |
| License Number: | 180002834 |
| Business Practice Address: | 4580 Weaver Parkway Suite 204 Warrenville, IL - 60555 |
| Business Phone Number: | 6304733970 |
| Business Fax Number: | 6309945028 |
| Mailing Address: | 4580 Weaver Parkway, Suite 204 WARRENVILLE |
| State: | IL |
| Postal Code: | 60555 |
| Phone Number: | 6304733970 |
| Fax Number: | 6309945028 |
| NPI Enumeration Date: | 04/25/2008 |
| NPI Last Update Date: | 12/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 180002834 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |