Individual
BRACKEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PPS
Contact information
Practice address
55190 POINT RD, BIG CREEK, CA 93605
(559) 893-3314
Mailing address
1111 VAN NESS AVE, FRESNO, CA 93721-2002
(559) 265-3000
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
220116511
CA
Other
Enumeration date
03/26/2018
Last updated
11/05/2025
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