Individual
DR. WILLIAM THEODORE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1854
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/07/2019
Last updated
04/30/2024
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