Smothers, David Brian

Smothers, David Brian is an individual health care provider with primary practice located at 10425 W North Ave , Wauwatosa WI 53226-2416. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Smothers, David Brian can be contacted via phone (414) 367-9413.

Contact Information

Primary practice address
10425 W North Ave Wauwatosa WI 53226-2416
Phone: (414) 367-9413
Fax: (414) 358-5590
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3865-125 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2973-57 Wisconsin

Profile Details

NPI number 1902931132
LBN Legal business name Smothers, David Brian
Credentials PSY.D., L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Mar 17th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902931132 NPPES
Wisconsin MEDICAID MA 43599400

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