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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
TX2-5159

Other Provider Identifiers:

IssuerNumberStateType
0307068-01TX05
139710719AR05
Code values:
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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