Individual
MS. THERESA ELLEN BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED LMFT
Contact information
Practice address
131 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5752
(857) 998-2168
(617) 491-2020
Mailing address
461 SOMERVILLE AVE, SOMERVILLE, MA 02143-3244
(857) 998-2168
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1265
MA
Other
Enumeration date
05/20/2006
Last updated
03/23/2010
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