Individual
DR. BRANDON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(512) 968-1722
Mailing address
374 MDG UNIT 5071, APO, AP 96328-5071
(315) 225-3566
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810007953
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/01/2021
Last updated
07/29/2025
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