Smith, Brianna A
Smith, Brianna A is an individual health care provider with primary practice located at 2424 S 90Th St Ste 502 , West Allis WI 53227-2455. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Smith, Brianna A can be contacted via phone (414) 773-4312.Contact Information
Primary practice address
2424 S 90Th St Ste 502
West Allis WI 53227-2455
Phone: (414) 773-4312
Fax: (414) 329-5637
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 3726 | Wisconsin |
Profile Details
| NPI number | 1003394784 |
|---|---|
| LBN Legal business name | Smith, Brianna A |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2018 |
| Last updated | Jan 6th, 2021 - about 4 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 | 1003394784 | NPPES |
| Wisconsin | MEDICAID | 100080246 |
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