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Individual

DR. JEFFREY T. BRYANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
420 NORTH MAIN STREET, GOODLETTSVILLE, TN 37072-1524
(615) 545-6045
(615) 851-8843
Mailing address
PO BOX 425, GREENBRIER, TN 37073-0425
(615) 545-6045
(615) 851-8843

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
P1560
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3684168
TN
01
42326
NATIONAL REGISTER OF HSP
Enumeration date
02/27/2007
Last updated
07/08/2007
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