Individual
MICHELLE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S., NCSP
Contact information
Practice address
12200 WYNDHAM LAKE DR, GLEN ALLEN, VA 23059-5495
(804) 360-0825
Mailing address
12200 WYNDHAM LAKE DR, GLEN ALLEN, VA 23059-5495
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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