Individual
NATACHA TATIANA BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
101 EL MIRAGE, PAGE, AZ 86040-1927
(928) 608-4312
Mailing address
PO BOX 1927, PAGE, AZ 86040-1927
(928) 608-4312
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3324983
AZ
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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