NPI 1124440888 · live from the CMS NPI Registry
Mary Bryant, LPE
Psychologist, Clinical Child & Adolescent in Jonesboro, AR. National Provider Identifier 1124440888, active.
NPI record
| NPI | 1124440888 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical Child & Adolescent 103TC2200X |
| Practice location | 1217 Stone St, Jonesboro, AR 72401 |
| Practice phone | 870-972-1268 |
| Enumerated | January 15, 2014 |
| Last updated | September 3, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical Child & Adolescent primary | 103TC2200X | 13-23E (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.