Individual
MISS BRENDA LOUISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
5121 STOCKDALE HWY, SUITE 150, BAKERSFIELD, CA 93309-2656
(661) 868-5085
(661) 836-3957
Mailing address
PO BOX 1000, BAKERSFIELD, CA 93302-1000
(661) 868-5085
(661) 836-3957
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
28836
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/01/2007
Last updated
06/15/2012
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