Individual
MRS. GABRIELLA SELENE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30200 TELEGRAPH RD, 402, BINGHAM FARMS, MI 48025-4502
(248) 644-3200
(248) 644-3211
Mailing address
5009 W OUTER DR, DETROIT, MI 48235-1342
(313) 342-7070
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013330
MI
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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