Individual
TINA C BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2220 EXECUTIVE DR STE 103, LEXINGTON, KY 40505-4871
(859) 963-6388
Mailing address
2220 EXECUTIVE DR STE 103, LEXINGTON, KY 40505-4871
(859) 963-6388
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
KY1307
KY
Other
Enumeration date
03/16/2011
Last updated
02/01/2012
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