Provider Demographics
NPI:1396965372
Name:SMITH, BRIAN ERIC (AUD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:ERIC
Last Name:SMITH
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 WESTERN AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-6315
Mailing Address - Country:US
Mailing Address - Phone:330-256-5208
Mailing Address - Fax:
Practice Address - Street 1:102 WESTERN AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-6315
Practice Address - Country:US
Practice Address - Phone:330-256-5208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.01117231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist