Susan L Bryant is a Clinical in Little Rock, Arkansas. Susan L Bryant practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan L Bryant is 1073510582. The last update date is 2007-10-15.
Susan L Bryant's current location address is 1301 Wilson Rd, Little Rock, Arkansas. You can contact this provider via phone number 5012250576 and fax number 5012256789. The mailing address for Susan L Bryant is 1301 Wilson Rd, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan L Bryant |
|---|---|
| Address | 1301 Wilson Rd, Little Rock, Arkansas |
| Phone Number | 5012250576 |
| Fax Number | 5012256789 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1073510582 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2007-10-15 |
Provider Mailing Address Detail
| Address | 1301 Wilson Rd |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722056659 |
| Phone Number | 5012250576 |
| Fax Number | 5012256789 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 97-10P |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5U245 | AR | LOCAL BCBS | |
| 1932174836 | AR | CLINIC NPI # |
Post Comment/ Review Below
What is the unique identifier code issued to Susan L Bryant by the Centers for Medicare & Medicaid Services?
The Susan L Bryant has been assigned the NPI (National Provider Identifier) 1073510582. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Susan L Bryant's facilities are situated?
The facilities of Susan L Bryant are physically located at the following address: 1301 Wilson Rd, Little Rock, AR, 722056659.
What is the area of specialization for Susan L Bryant, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan L Bryant is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073510582 to Susan L Bryant?
The Centers for Medicare & Medicaid Services assigned the 1073510582 to Susan L Bryant on 2005-06-30.
When was the information regarding Susan L Bryant, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Susan L Bryant, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-15.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH