# COLUMBUS B. BRYANT, PSYD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205371473
- **Authorized official:** DR. COLUMBUS B BRYANT PSYD (LICENSED PSYCHOLOGIST)
- **Authorized official phone:** (316) 631-1222

## Contact information

- **Practice address:** 8100 E 22ND ST N, BUILDING 1400-1, WICHITA, KS 67226-2388
- **Practice address phone:** (316) 631-1222
- **Practice address fax:** (316) 631-1224
- **Mailing address:** 8100 E 22ND ST N, BUILDING 1400-1, WICHITA, KS 67226-2388
- **Mailing address phone:** (316) 631-1222
- **Mailing address fax:** (316) 631-1224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | Yes |
| 103T00000X | Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 12/27/2016
- **Last updated:** 01/06/2017