Individual
DR. BONNIE L BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10312 OLD FORT RD, FORT WASHINGTON, MD 20744-4123
(301) 292-3994
(304) 725-3461
Mailing address
304 W 4TH AVE, RANSON, WV 25438-1024
(301) 292-3994
(304) 725-3461
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
02802
MD
103TC0700X
Clinical Psychologist
02802
MD
103TC0700X
Clinical Psychologist
0810002219
VA
106H00000X
Marriage & Family Therapist
0717000668
VA
Other
Enumeration date
06/02/2006
Last updated
12/05/2014
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