Smith, Brenda L.
Smith, Brenda L. is an sole proprietor health care provider with primary practice located at 66 Junction Square Dr , Concord MA 01742-3049. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Brenda L. can be contacted via phone (978) 369-7745.Contact Information
Primary practice address
66 Junction Square Dr
Concord MA 01742-3049
Phone: (978) 369-7745
Fax: (978) 287-0238
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 103300 | Massachusetts |
Profile Details
| NPI number | 1417012451 |
|---|---|
| LBN Legal business name | Smith, Brenda L. |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417012451 | NPPES |
| Massachusetts | Other | P01066 | BCBS OF MA |
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