Most Relevant Information
Provider Data
| NPI Number: | 1003240193 |
| Provider Name: | BRYAN SMITH M.A., L.M.H.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/26/2013 |
| Last Updated: | 09/30/2020 |
Provider Practice Location
25 CANTERBURY RD
WOBURN
MA
018015901
Practice Location Phone/Fax
| Phone: | 9737139217 |
| Fax: |
Provider Mailing Location
25 CANTERBURY RD
WOBURN
MA
018015901
Provider Mailing Phone/Fax
| Phone: | 9737139217 |
| Fax: |