Individual
DARLENE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
463 PINEY POINT DR, SOUR LAKE, TX 77659-9246
(409) 651-6185
Mailing address
463 PINEY POINT DR, SOUR LAKE, TX 77659-9246
(409) 651-6185
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
102599
TX
Other
Enumeration date
06/25/2022
Last updated
06/25/2022
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