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NPI Code Detail

MEDICARE: MISS BRENDA LOUISE SMITH LPT

MEDICARE: MISS BRENDA LOUISE SMITH LPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation Specialist28836
2167G00000XLicensed Psychiatric Technician28836CA
3171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1063540037
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS BRENDA LOUISE SMITH LPT
Provider Business Mailing Address
First Line : PO BOX 1000
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93302-1000
Country : US
Telephone Number : 661-319-9726
Fax Number : 661-868-8080
Provider Business Practice Location Address
First Line : 2151 COLLEGE AVE
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93305-4172
Country : US
Telephone Number : 661-868-9726
Fax Number : 661-868-5087
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 06/09/2026

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Directions to “ MISS BRENDA LOUISE SMITH LPT” Practice Location

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