Individual
BRIAN E. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., J.D.
Contact information
Practice address
168 W 86TH ST APT 1B, NEW YORK, NY 10024-4023
(646) 553-5712
Mailing address
168 W 86TH ST APT 1B, NEW YORK, NY 10024-4023
(646) 553-5712
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020707
NY
Other
Enumeration date
07/13/2010
Last updated
03/11/2020
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