Individual
KAITLYN ALEXANDRA BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1110
Mailing address
2922 CAMPUS PRAIRIE LOOP NE, LACEY, WA 98516-7147
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010066
GA
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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