Individual
DR. MAVIS ANNE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1800 TEAGUE DRIVE, SUITE 502, SHERMAN, TX 75090-2656
(903) 892-4466
(903) 892-2634
Mailing address
1800 TEAGUE DRIVE, SUITE 502, SHERMAN, TX 75090-2656
(903) 892-4466
(903) 892-2634
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
25035
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034974801
—
TX
Enumeration date
11/10/2005
Last updated
09/29/2010
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