NPI 1609359363 · live from the CMS NPI Registry
Laurie Bettie Bryan, PsyD
Psychologist in Providence, RI. National Provider Identifier 1609359363, active.
NPI record
| NPI | 1609359363 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 830 Chalkstone Ave, Providence, RI 02908 |
| Practice phone | 401-273-7100 |
| Enumerated | September 10, 2018 |
| Last updated | July 16, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | PS02027 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.