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DR. ERNEST TROY BRYANT PHD
>> Clinical Neuropsychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1669502183
Individual Registrant:DR. ERNEST TROY BRYANT PHD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
240 TAMAL VISTA BLVD CORTE MADERA, CA 94925-1132 US
Tel: 415-927-7748 Fax: --
Tel: 415-927-7748 Fax: --
Contact information for business:
9 MEADOWLARK CT NOVATO, CA 94947-3750 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1669502183
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | CA | PSY-7959 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
