Individual
MRS. CHRISTY A BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP, L
Contact information
Practice address
414 INDIANA AVE, SOUTH ROXANA, IL 62087-1628
(618) 254-5114
Mailing address
414 INDIANA AVE, SOUTH ROXANA, IL 62087-1628
(618) 254-5114
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.006846
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146.006846
LICENSE
—
Enumeration date
10/18/2017
Last updated
10/18/2017
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