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Contact Information

BRACKEN SMITH, PPS
55190 POINT RD
BIG CREEK, CA93605
 Phone: 559-893-3314
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRACKEN SMITH · (Male)

NPI Number 1104321991
Status Active
Credentials PPS
Entity Individual
Enumeration date 03/26/2018
Last updated 11/05/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • CA License # 220116511
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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