Individual
BRENT WARREN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP, PHD
Contact information
Practice address
2640 E LEAGUE CITY PKWY, STE 104 PMB 1050, LEAGUE CITY, TX 77573-3369
(409) 209-7511
Mailing address
2640 E LEAGUE CITY PKWY, STE 104 PMB 1050, LEAGUE CITY, TX 77573-3369
(409) 209-7511
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
37358
TX
Other
Enumeration date
09/22/2014
Last updated
11/18/2022
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