Individual
DR. MICHELE MERRELL BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
24 DROMARA RD, SAINT LOUIS, MO 63124-1815
(314) 993-8964
Mailing address
983 GARDENVIEW OFFICE PKWY, SAINT LOUIS, MO 63141-5917
(314) 910-0404
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2003017952
MO
Other
Enumeration date
05/17/2007
Last updated
09/13/2012
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