Individual
DR. MACKENZIE ELIZABETH BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, CCC-A
Contact information
Practice address
793 W POPLAR AVE, COLLIERVILLE, TN 38017-2543
(901) 310-5983
Mailing address
793 W POPLAR AVE, COLLIERVILLE, TN 38017-2543
(901) 310-5983
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2056
AUDIOLOGY LICENSE
TN
Enumeration date
06/28/2021
Last updated
01/14/2025
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