Individual
BRYAN RUNYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 CARPENTER DR STE 110, STERLING, VA 20164-4468
(703) 297-4368
Mailing address
4953 BUENA VISTA DR, DUMFRIES, VA 22025-3053
(318) 623-8468
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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