Individual
DR. MARY THOMAS BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LMFT, LMHC, NCC
Contact information
Practice address
14499 N DALE MABRY HWY, SUITE 164, TAMPA, FL 33618-2078
(813) 240-4537
(813) 830-6021
Mailing address
14499 N DALE MABRY HWY, SUITE 164, TAMPA, FL 33618-2078
(813) 240-4537
(813) 830-6021
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MH-5573
FL
101YM0800X
Mental Health Counselor
MH-5573
FL
106H00000X
Marriage & Family Therapist
Primary
MT-2200
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53494
NAT'L. BD. CERT. #
FL
01
—
MH-5573
LICENSE NUMBER, LMHC
FL
01
—
MT-2200
LIC. MARRIAGE & FAMILY
FL
Enumeration date
11/08/2005
Last updated
02/02/2015
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