Provider Demographics
NPI:1659447506
Name:NORINE SMILEY PHD PC
Entity Type:Organization
Organization Name:NORINE SMILEY PHD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NORINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMILEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:480-367-1500
Mailing Address - Street 1:11333 N SCOTTSDALE RD STE 260
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5194
Mailing Address - Country:US
Mailing Address - Phone:480-367-1500
Mailing Address - Fax:480-367-1501
Practice Address - Street 1:11333 N SCOTTSDALE RD STE 260
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-5194
Practice Address - Country:US
Practice Address - Phone:480-367-1500
Practice Address - Fax:480-367-1501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-24
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ0617720OtherBLUE CROSS BLUE SHIELD