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General NPI Number Information
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NPI Number | 1063618668
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Entity Type | Individual
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Provider Name | BARRIE M BRYARS MFT 40243
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Gender | Female
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 780 SHADOWRIDGE DR
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City | VISTA
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State | CA
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Zip | 92083-7986
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Country | US
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Telephone | 760-599-2367
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Fax |
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Provider Business Mailing Address
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Address Line | 29852 PLATANUS DR
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City | ESCONDIDO
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State | CA
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Zip | 92026-5938
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Country | US
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Telephone | 760-297-1109
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | MFT 40234
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License Number State | CA
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