Individual
SHARON L BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1002 BRADFORD WAY, KINGSTON, TN 37763
(865) 376-1585
(865) 376-1587
Mailing address
1002 BRADFORD WAY, KINGSTON, TN 37763
(865) 376-1585
(865) 376-1587
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P1453
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133074
BLUE CROSS BLUE SHIELD
TN
05
—
3683286
—
TN
Enumeration date
01/25/2006
Last updated
10/06/2011
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