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Individual

MYRON BRYANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN, PMHNP-BC, LPC

Contact information

Practice address
2901 HIGHWAY 28 E, SUITE E, PINEVILLE, LA 71360-5773
(318) 704-6798
Mailing address
2901 HIGHWAY 28 E, SUITE E, PINEVILLE, LA 71360-5773
(318) 704-6798

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4157
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP07931
LA

Other

Enumeration date
01/20/2011
Last updated
02/15/2017
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