DR. BRYAN E SMITH PSY.D.
Clinical Neuropsychologist
Texarkana, Texas
Provider NPI: 1306834015
Provider Information:DR. BRYAN E SMITH PSY.D.
Gender: M
Sole Proprietor
Practice Location:
5411 PLAZA DR SUITE E TEXARKANA, TX 75503 US
Tel: 903-255-0171 Fax: 903-255-0172
Business Mailing Address:
5411 PLAZA DR SUITE E TEXARKANA, TX 75503 US
Tel: 903-255-0171 Fax: 903-255-0172
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | TX | 2-5159 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0307068-01 | TX | 05 | |
139710719 | AR | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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