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NPI Code Detail

MEDICARE: KRISTEN BRYANT M.ED-C

MEDICARE: KRISTEN BRYANT M.ED-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YS0200XSchool Counselor

General Provider Information

NPI Number : 1548398076
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN BRYANT M.ED-C
Provider Business Mailing Address
First Line : 1600 E WATSON DR
Second Line :
City : TEMPE
State : AZ
Zip : 85283-3147
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1600 E WATSON DR
Second Line :
City : TEMPE
State : AZ
Zip : 85283-3147
Country : US
Telephone Number : 480-897-6063
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2007
Last Update Date : 07/08/2007

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Directions to “ KRISTEN BRYANT M.ED-C” Practice Location

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