Individual
KATHRYN BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
814 JUNIPER ST NE STE 201, ATLANTA, GA 30308-1300
(404) 965-5843
Mailing address
760 DALEROSE AVE, DECATUR, GA 30030-3936
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY004313
GA
Other
Enumeration date
08/13/2018
Last updated
09/09/2019
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