Bryant, Susan L
Bryant, Susan L is an individual health care provider with primary practice located at 1301 Wilson Rd , Little Rock AR 72205-6659. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bryant, Susan L can be contacted via phone (501) 225-0576.Contact Information
Primary practice address
1301 Wilson Rd
Little Rock AR 72205-6659
Phone: (501) 225-0576
Fax: (501) 225-6789
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 97-10P | Arkansas |
Profile Details
NPI number | 1073510582 |
---|---|
LBN Legal business name | Bryant, Susan L |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2005 |
Last updated | Oct 15th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073510582 | NPPES |
Arkansas | Other | 5U245 | LOCAL BCBS |
Arkansas | Other | 1932174836 | LOCAL BCBS |
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