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MARY CUNNINGHAM-BRYANT PH.D.
>> Clinical Neuropsychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1194929042
Individual Registrant: MARY CUNNINGHAM-BRYANT PH.D.
Gender: F
Sole Proprietor
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
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
Tel: 415-927-7748 Fax: 415-927-1646
Registration Information:
NPI: 1194929042
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 | PSY10067 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
