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Individual
TAMARA S BRYAN
Active
Individual
TAMARA S BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00015230
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02472053
—
NY
Enumeration date
07/13/2006
Last updated
07/08/2007
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