Roger Bryant is a Health Service in Suffolk, Virginia. Roger Bryant practices all healthcare services and medical treatments related to Health Service. The NPI Number for Roger Bryant is 1760559918. The last update date is 2007-07-08.
Roger Bryant's current location address is 2104 Waters Edge Ln, Suffolk, Virginia. You can contact this provider via phone number 7576865865. The mailing address for Roger Bryant is 2104 Waters Edge Ln, Suffolk, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Bryant |
|---|---|
| Address | 2104 Waters Edge Ln, Suffolk, Virginia |
| Phone Number | 7576865865 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1760559918 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2104 Waters Edge Ln |
|---|---|
| City | Suffolk |
| State | Virginia (VA) |
| Post Code | 234352858 |
| Phone Number | 7576865865 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
| Licence No | 691 |
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Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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Post Comment/ Review Below
What is the Roger Bryant's 1760559918?
The Roger Bryant's NPI (National Provider Identifier) Number is 1760559918. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Roger Bryant?
The Roger Bryant is physically situated at 2104 Waters Edge Ln, in the city of Suffolk, state of VA, with the postal code 234352858.
What is the area of specialization for Roger Bryant, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Roger Bryant is Health Service, and the corresponding taxonomy code that categorizes this area of expertise is 103Th0100X.
On what date did the Centers for Medicare & Medicaid Services assign the 1760559918 to Roger Bryant?
The Centers for Medicare & Medicaid Services assigned the 1760559918 to Roger Bryant on 2006-11-30.
As of what date were the Roger Bryant's details last updated?
The information pertaining to the Roger Bryant, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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