Individual
DR. DANIEL SWAN BRYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
20 PARK PLAZA, SUITE 611, BOSTON, MA 02116-4325
(617) 292-7711
(781) 431-7172
Mailing address
20 PARK PLAZA, SUITE 611, BOSTON, MA 02116-4325
(617) 292-7711
(781) 431-7172
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3527
MA
103TC0700X
Clinical Psychologist
3527
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BRW03581
BLUE SHIELD OF MA
MA
Enumeration date
03/26/2008
Last updated
03/26/2008
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