Individual
BRIAN EUGENE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., CCC-SLP
Contact information
Practice address
1020 RUBY VISTA DR, SUITE 102, ELKO, NV 89801-2879
(775) 753-1214
Mailing address
540 CROYDON DR, SPRING CREEK, NV 89815-5919
(775) 397-5215
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-249
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003404085
—
NV
Enumeration date
10/26/2006
Last updated
07/12/2015
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