Dr Craig J Bryan, PSYD | |
2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland A F B, TX 78236-5300 | |
(210) 925-4029 | |
Not Available |
Full Name | Dr Craig J Bryan |
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Gender | Male |
Speciality | Psychologist |
Location | 2200 Bergquist Dr Ste 1, Lackland A F B, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1992883490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
Entity Name | Ohio State University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972561892 PECOS PAC ID: 9739070244 Enrollment ID: O20040323001755 |
Entity Name | Osu Psychiatry, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194773317 PECOS PAC ID: 0749272714 Enrollment ID: O20040331000566 |
Mailing Address | Practice Location Address |
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Dr Craig J Bryan, PSYD 7123 Quail Wilde, San Antonio, TX 78250-6507 Ph: () - | Dr Craig J Bryan, PSYD 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland A F B, TX 78236-5300 Ph: (210) 925-4029 |
Dr. Monty Timothy Baker, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Ste. 1, Life Skills Support Center, 59 Mdos Mmcm, Lackland A F B, TX 78236 Phone: 210-292-7361 Fax: 210-292-2520 | |
Dr. Julie Michelle Storey, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Suite 1, Attn Credentials (cmc), Lackland A F B, TX 78236 Phone: 210-292-6707 | |
Joshua Dale Wilson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Ste 1, Lackland A F B, TX 78236 Phone: 918-931-8254 | |
Dr. Robert Karl Klepac, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Attn: Credentials (cmc), Lackland A F B, TX 78236 Phone: 210-292-5949 | |
Dr. Kellie Courtney Crowe, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Lackland A F B, TX 78236 Phone: 210-292-5972 |