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Organization

MARY T. BRYANT, PA

Active
Other names
Dr. Mary T. Bryant, PA
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY T BRYANT PHD (PRESIDENT/PSYCHOTHERAPIST)
(813) 240-4537
Entity
Organization

Contact information

Practice address
5121 EHRLICH RD, SUITE 104B, TAMPA, FL 33624-2049
(813) 240-4537
(813) 830-6021
Mailing address
5121 EHRLICH RD, SUITE 104B, TAMPA, FL 33624-2049
(813) 240-4537
(813) 830-6021

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH-5573
FL
106H00000X
Marriage & Family Therapist
Primary
MT-2200
FL

Other

Enumeration date
05/08/2012
Last updated
05/08/2012
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