| Susan L Bryant Phd Behavioral Health Services | |
|
415 N Mckinley St Ste 635 Little Rock AR 72205-3013 | |
| (501) 350-1882 | |
| Not Available |
| Full Name | Susan L Bryant Phd Behavioral Health Services |
|---|---|
| Speciality | Psychologist |
| Location | 415 N Mckinley St Ste 635, Little Rock, Arkansas |
| Authorized Official Name and Position | Susan L Bryant (OWNER) |
| Authorized Official Contact | 5013501882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan L Bryant Phd Behavioral Health Services 415 N Mckinley St Ste 635 Little Rock AR 72205-3013 Ph: (501) 808-1230 | Susan L Bryant Phd Behavioral Health Services 415 N Mckinley St Ste 635 Little Rock AR 72205-3013 Ph: (501) 350-1882 |
| NPI Number | 1144985763 |
|---|---|
| Provider Enumeration Date | 11/08/2021 |
| Last Update Date | 04/04/2023 |
| Certification Date | 04/04/2023 |
| Medicare PECOS PAC ID | 3476945205 |
|---|---|
| Medicare Enrollment ID | O20220127002215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144985763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Susan L Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073510582 PECOS PAC ID: 3476748369 Enrollment ID: I20101117001248 |
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