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MARY CUNNINGHAM-BRYANT PH.D.

>> Clinical Neuropsychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1194929042

Individual Registrant:
 MARY  CUNNINGHAM-BRYANT PH.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
240 TAMAL VISTA BLVD STE 162  CORTE MADERA, CA 94925-1156 US
Tel: 415-927-7748  Fax: 415-927-1646

Contact information for business:
240 TAMAL VISTA BLVD STE 150  CORTE MADERA, CA 94925-1156 US
Tel: 415-927-7748  Fax: 415-927-1646

Registration Information:
NPI: 1194929042
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
CAPSY10067

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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