Organization
BRENT SMITH CRNP
Active
Other names
Mindspace Medical
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SMITH NP (MEDICAL DIRECTOR)
(570) 260-6500
Entity
Organization
Contact information
Practice address
150 MUNDY ST, WILKES BARRE, PA 18702-6830
(570) 260-6500
Mailing address
323 DANA ST, WILKES BARRE, PA 18702-5755
(570) 260-6500
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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