Individual
MR. JEFFREY LYNN BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSLLP
Contact information
Practice address
14930 LAPLAISANCE RD STE 123, MONROE, MI 48161-3878
(734) 240-3850
(734) 240-3863
Mailing address
14930 LAPLAISANCE RD STE 123, MONROE, MI 48161-3878
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008547
MI
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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