| Columbus B. Bryant, Psyd, Llc | |
|
8100 E 22nd St N Building 1400-1 Wichita KS 67226-2388 | |
| (316) 631-1222 | |
| (316) 631-1224 |
| Full Name | Columbus B. Bryant, Psyd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 8100 E 22nd St N, Wichita, Kansas |
| Authorized Official Name and Position | Columbus B Bryant (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3166311222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbus B. Bryant, Psyd, Llc 8100 E 22nd St N Building 1400-1 Wichita KS 67226-2388 Ph: (316) 631-1222 | Columbus B. Bryant, Psyd, Llc 8100 E 22nd St N Building 1400-1 Wichita KS 67226-2388 Ph: (316) 631-1222 |
| NPI Number | 1205371473 |
|---|---|
| Provider Enumeration Date | 12/27/2016 |
| Last Update Date | 01/06/2017 |
| Medicare PECOS PAC ID | 3173805652 |
|---|---|
| Medicare Enrollment ID | O20170117002350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205371473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Columbus B Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477646230 PECOS PAC ID: 7618870239 Enrollment ID: I20040130000592 |
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