Individual
TIMOTHY ALLEN BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1205 RIVER AVE FL 2, WILLIAMSPORT, PA 17701-3724
(570) 326-4118
(570) 326-5533
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000005
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035097520001
—
PA
Enumeration date
01/23/2006
Last updated
04/13/2022
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