Massenburg, Bryant Odell

Massenburg, Bryant Odell is an sole proprietor health care provider with primary practice located at 650 Huebner Rd , Ft Riley KS 66442-4030. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Massenburg, Bryant Odell can be contacted via phone (757) 535-6301.

Contact Information

Primary practice address
650 Huebner Rd Ft Riley KS 66442-4030
Phone: (757) 535-6301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904006561 Virginia
Behavioral Health & Social Service Providers / Social Worker 104100000X 0904006561 Virginia

Profile Details

NPI number 1194938571
LBN Legal business name Massenburg, Bryant Odell
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2007
Last updated Sep 29th, 2023 - about 2 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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