Individual
MARTHA JEAN BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
7701 E KELLOGG DR, STE. 300, WICHITA, KS 67207-1706
(316) 660-9600
(316) 660-9660
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 383-7925
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
040
KS
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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