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
Fax: (501) 225-6789
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073510582 NPPES
Arkansas Other 5U245 LOCAL BCBS
Arkansas Other 1932174836 LOCAL BCBS

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