Individual
WILLIAM A. BRYSON-BROCKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
222 STATION PLZ N, SUITE 611, MINEOLA, NY 11501-3808
(516) 663-4432
(516) 663-4409
Mailing address
222 STATION PLZ N, SUITE 611, MINEOLA, NY 11501-3808
(516) 663-4432
(516) 663-4409
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
009669
NY
103TB0200X
Cognitive & Behavioral Psychologist
009669
NY
103TC0700X
Clinical Psychologist
009669
NY
103TC2200X
Clinical Child & Adolescent Psychologist
009669
NY
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
009669
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049693
GHI PPO
NY
01
—
118426
VYTRA HEALTH PLAN
NY
01
—
AS1545
OXFORD HEALTH PLANS
NY
01
—
VA2061
EMPIRE BLUECROSS BLUESHIE
NY
Enumeration date
11/14/2006
Last updated
09/11/2025
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