Mary Kathleen Bryan in Petaluma - Mental Health
Mary Kathleen Bryan - NPI 1194880880
Mary Kathleen Bryan is a Mental Health in Petaluma, California. Mary Kathleen Bryan practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Mary Kathleen Bryan is 1194880880. The last update date is 2007-07-08.
Mary Kathleen Bryan's current location address is 42 Graylawn Ave, Petaluma, California. You can contact this provider via phone number 7077699648 and fax number 7077699648. The mailing address for Mary Kathleen Bryan is 42 Graylawn Ave, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Kathleen Bryan |
|---|---|
| Address | 42 Graylawn Ave, Petaluma, California |
| Phone Number | 7077699648 |
| Fax Number | 7077699648 |
| Sole Proprietor | Y |
| Credentials | MFT |
NPI Number Detail
| NPI Number | 1194880880 |
|---|---|
| Provider Enumeration Date | 2006-12-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 42 Graylawn Ave |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949522221 |
| Phone Number | 7077699648 |
| Fax Number | 7077699648 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | MFT#21232 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mary Kathleen Bryan by the Centers for Medicare & Medicaid Services?
The Mary Kathleen Bryan has been issued the NPI (National Provider Identifier) 1194880880 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mary Kathleen Bryan?
The Mary Kathleen Bryan is physically situated at 42 Graylawn Ave, in the city of Petaluma, state of CA, with the postal code 949522221.
What is the Mary Kathleen Bryan's specialty and taxonomy code?
The Mary Kathleen Bryan's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1194880880 to Mary Kathleen Bryan?
The Mary Kathleen Bryan received its 1194880880 assignment from the Centers for Medicare & Medicaid Services on 2006-12-24.
When was the information regarding Mary Kathleen Bryan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary Kathleen Bryan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.