Individual
DR. SUSAN L BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1301 WILSON RD, LITTLE ROCK, AR 72205-6659
(501) 225-0576
(501) 225-6789
Mailing address
1301 WILSON RD, LITTLE ROCK, AR 72205-6659
(501) 225-0576
(501) 225-6789
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
97-10P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932174836
CLINIC NPI #
AR
01
—
5U245
LOCAL BCBS
AR
Enumeration date
06/30/2005
Last updated
10/15/2007
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