Individual
MS. BABS BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., C.C.C.
Contact information
Practice address
30 N SAN PEDRO RD, SUITE 265, SAN RAFAEL, CA 94903-4118
(415) 179-7880
Mailing address
859 ATHERTON AVE, NOVATO, CA 94945-2625
(415) 860-2227
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2725
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2725
SPEECH PATHOLOGY LICENSE
CA
Enumeration date
02/06/2007
Last updated
07/08/2007
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