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NPI Code Detail

MEDICARE: KATHRYN BRYANT CCC-SLP

MEDICARE: KATHRYN BRYANT CCC-SLP
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1396426615
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN BRYANT CCC-SLP
Provider Business Mailing Address
First Line : 1255 NEW HAMPSHIRE AVE NW APT 815
Second Line :
City : WASHINGTON
State : DC
Zip : 20036-2324
Country : US
Telephone Number : 908-798-1794
Fax Number :
Provider Business Practice Location Address
First Line : 21631 RIDGETOP CIR STE 225
Second Line :
City : STERLING
State : VA
Zip : 20166-4289
Country : US
Telephone Number : 571-207-8850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2023
Last Update Date : 07/28/2023

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Directions to “ KATHRYN BRYANT CCC-SLP” Practice Location

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