Individual
DR. JERRY L BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1200 GOLDEN KEY CIR, #140, EL PASO, TX 79925-5820
(915) 598-9052
(915) 598-3674
Mailing address
1200 GOLDEN KEY CIR, #140, EL PASO, TX 79925-5820
(915) 598-9052
(915) 598-3674
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
21692
TX
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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