Individual provider · Type 1 NPI

Brandon Smith, PhD

Student in an Organized Health Care Education/Training Program · Fort Sam Houston, TX

NPI number 1114512241 Active

Practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Call (512) 968-1722 Map

Mailing address

374 Mdg Unit 5071
Apo, AP 96328-5071

Other practice locations

  • 1100 Wilford Hall Loop, Jbsa Lackland, San Antonio, TX 78236 · (512) 968-1722

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X0810007953 (VA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114512241

Brandon Smith, PhD's National Provider Identifier is 1114512241, issued on Mar 1, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Jun 10, 2026.