MEDICARE: BRYON DAY PH.D.

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
1	106H00000X	Marriage & Family Therapist	20	IA
2	101YM0800X	Mental Health Counselor	11	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01-0792022	OTHER	IA	TAXPAYER ID
2	11	OTHER	IA	MENTAL HEALTH COUNSELOR
3	61034	OTHER	IA	AAMFT CLINICAL MEMBER
4	20	OTHER	IA	MARITAL &FAMILY THERAPIST

General Provider Information

NPI Number	:	1356415822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYON DAY PH.D.

Provider Business Mailing Address
First Line	:	4187 PRAIRIE MEADOW CT NE
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-9615
Country	:	US
Telephone Number	:	319-936-4357
Fax Number	:

Provider Business Practice Location Address
First Line	:	332 S LINN ST STE 35
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-1608
Country	:	US
Telephone Number	:	319-936-4357
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	05/19/2019

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Directions to “ BRYON DAY PH.D.” Practice Location

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