Shalyse Bryan, LCSW
Social Worker, Clinical in Bronx, NY. Individual provider (NPI-1).
NPI number1316601966
StatusActive
Last updated in NPPESOct 28, 2021
Details
- NPI
- 1316601966
- Entity type
- Individual (NPI-1)
- Name
- Shalyse Bryan
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2021
- Certification date
- Oct 28, 2021
- Last updated
- Oct 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 092096 | NY | Yes |
Practice location
1400 Pelham Pkwy SBronx, NY 10461-1138
Phone 718-918-4792
Mailing address
3484 Seymour Ave Apt 3aBronx, NY 10469-2155
Phone 646-687-3554
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