Tina Yvette Bryant in Kirtland Afb - Clinical
Tina Yvette Bryant - NPI 1073593968
Tina Yvette Bryant is a Clinical in Kirtland Afb, New Mexico. Tina Yvette Bryant practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tina Yvette Bryant is 1073593968. The last update date is 2007-07-08.
Tina Yvette Bryant's current location address is 2050 A Second St, Se, Kirtland Afb, New Mexico. You can contact this provider via phone number 5058463305 and fax number 5058463295. The mailing address for Tina Yvette Bryant is 2050 A Second St, Se, Kirtland Afb, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina Yvette Bryant |
|---|---|
| Address | 2050 A Second St, Se, Kirtland Afb, New Mexico |
| Phone Number | 5058463305 |
| Fax Number | 5058463295 |
| Sole Proprietor | X |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1073593968 |
|---|---|
| Provider Enumeration Date | 2006-01-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2050 A Second St, Se |
|---|---|
| City | Kirtland Afb |
| State | New Mexico (NM) |
| Post Code | 871170001 |
| Phone Number | 5058463305 |
| Fax Number | 5058463295 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 32420 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identification code assigned to Tina Yvette Bryant by the Centers for Medicare & Medicaid Services?
The Tina Yvette Bryant has been issued the NPI (National Provider Identifier) 1073593968. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Tina Yvette Bryant?
The Tina Yvette Bryant is situated at 2050 A Second St, Se, in the city of Kirtland Afb, state of NM, with the zip code 871170001.
What is Tina Yvette Bryant's area of expertise and its corresponding taxonomy classification?
The Tina Yvette Bryant's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did Tina Yvette Bryant receive its 1073593968 assignment?
The Tina Yvette Bryant was assigned its 1073593968 on 2006-01-18, which is the date when this unique identifier was issued to the organization.
As of what date were the Tina Yvette Bryant's details last updated?
The information pertaining to the Tina Yvette Bryant, including its address, specialty, and other details, was most recently updated on 2007-07-08.