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Individual

BREONNA LASHAE BRYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8115 GATEHOUSE RD, FALLS CHURCH, VA 22042-1203
(571) 423-3000
Mailing address
800 E CITY HALL AVE, NORFOLK, VA 23510-2723
(270) 366-5765

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000927
VA
103TS0200X
School Psychologist
Primary
PPS-0605854
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31609
VA
Enumeration date
03/29/2018
Last updated
04/21/2026
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