Individual
DR. ROGER BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1683 GILBERT ST STE 100, NMCP - SARP, NORFOLK, VA 23511-2731
(757) 444-8506
Mailing address
2104 WATERS EDGE LN, SUFFOLK, VA 23435-2858
(757) 686-5865
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
691
OK
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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