Individual
BRIANNA A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2424 S 90TH ST STE 502, WEST ALLIS, WI 53227-2455
(414) 773-4312
(414) 329-5637
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 773-4312
(414) 329-5637
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3726
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080246
—
WI
Enumeration date
08/03/2018
Last updated
01/06/2021
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