Individual
CARLY MARIE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
1329 APPLEGATE LN, CLARKSVILLE, IN 47129-9612
(502) 633-1007
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
(502) 437-0624
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006384A
IN
Other
Enumeration date
08/29/2014
Last updated
12/14/2018
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