Individual
MARIANNA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
2040 RAYBROOK ST SE STE 201-B, GRAND RAPIDS, MI 49546-7739
(269) 716-0093
Mailing address
2040 RAYBROOK ST SE STE 201-B, GRAND RAPIDS, MI 49546-7739
(269) 716-0093
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361008080
MI
103TC0700X
Clinical Psychologist
6362009429
MI
103TC1900X
Counseling Psychologist
6362009429
MI
Other
Enumeration date
11/04/2021
Last updated
01/26/2025
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