Individual
SCOTT A. BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LMHP,
Contact information
Practice address
9239 W CENTER RD, SUITE # 207, OMAHA, NE 68124-1900
(402) 354-8000
Mailing address
812 S 33RD ST, OMAHA, NE 68105-2004
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
216
NE
101Y00000X
Counselor
613
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26
LMHP LICENSE
NE
01
—
613
CMSW LICENSE
NE
Enumeration date
03/26/2007
Last updated
07/08/2007
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