Most Relevant Information
Provider Data
NPI Number: | 1003394784 |
Provider Name: | BRIANNA A SMITH PSYD |
Entity Type: | Individual |
Taxonomy Code: | 103T00000X |
Specialty: | Psychologist |
License Number: | 3726 |
Most Important Dates
Enumeration Date: | 08/03/2018 |
Last Updated: | 01/06/2021 |
Provider Practice Location
2424 S 90TH ST STE 502
WEST ALLIS
WI
532272455
Practice Location Phone/Fax
Phone: | 4147734312 |
Fax: | 4143295637 |
Provider Mailing Location
3301 W FOREST HOME AVE
MILWAUKEE
WI
532152843
Provider Mailing Phone/Fax
Phone: | 4147734312 |
Fax: | 4143295637 |