Provider Demographics
NPI:1720603061
Name:SMYTH, BRIANNA LEIGH (AUD, CCC-A)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:LEIGH
Last Name:SMYTH
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 CENTRE AVE STE 211
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1312
Mailing Address - Country:US
Mailing Address - Phone:412-621-0123
Mailing Address - Fax:412-621-1449
Practice Address - Street 1:5200 CENTRE AVE STE 211
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1312
Practice Address - Country:US
Practice Address - Phone:412-621-0123
Practice Address - Fax:412-621-1449
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-12
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD.0001067231H00000X
PAAT006866231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist