Individual
DR. BRADLEY DAVID BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
550 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(213) 738-6157
Mailing address
254 MELROSE AVE, MONROVIA, CA 91016-2141
(626) 359-8184
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY 2379
CO
103TC0700X
Clinical Psychologist
Primary
PSY15804
CA
Other
Enumeration date
10/23/2006
Last updated
11/30/2010
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