Doctor Name: | BRIAN EUGENE SMITH |
NPI Number: | 1225113426 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.ED., CCC-SLP |
License Number: | SP-249 |
Business Practice Address: | 1020 Ruby Vista Dr Suite 102 Elko, NV - 898012879 |
Business Phone Number: | 7757531214 |
Business Fax Number: | |
Mailing Address: | 540 Croydon Dr, SPRING CREEK |
State: | NV |
Postal Code: | 898155919 |
Phone Number: | 7753975215 |
Fax Number: | |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 07/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP-249 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |