Bryant, Kendra L

Bryant, Kendra L is an sole proprietor health care provider with primary practice located at 120 Tillson Ave Suite 201, Rockland ME 04841-3451. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Bryant, Kendra L can be contacted via phone (207) 594-2952.

Contact Information

Primary practice address
120 Tillson Ave Suite 201 Rockland ME 04841-3451
Phone: (207) 594-2952
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PS1009 Maine
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS1009 Maine

Profile Details

NPI number 1962596213
LBN Legal business name Bryant, Kendra L
Credentials PH.D., ABPP-CN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Aug 29th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962596213 NPPES
Maine Other 039230 ANTHEM BCBS
Maine MEDICAID 209580000 ANTHEM BCBS

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