Mark F Bryan
Community/Behavioral Health in Wakefield, MA. Individual provider (NPI-1).
NPI number1356974091
StatusActive
Last updated in NPPESFeb 21, 2020
Details
- NPI
- 1356974091
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark F Bryan
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 21, 2020
- Certification date
- Feb 21, 2020
- Last updated
- Feb 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
37 Water StWakefield, MA 01880-3058
Phone 781-851-2648
Mailing address
45 Avon St Apt 3Wakefield, MA 01880-2585
Phone 781-568-9001
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All 13 Community/Behavioral Health Agency providers in Wakefield · All 864 providers in Wakefield
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