Dr. Jerry L Bryan, Ph.D.
Psychologist, Clinical in El Paso, TX. Individual provider (NPI-1).
NPI number1770628216
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1770628216
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jerry L Bryan
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 21, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 21692 | TX | Yes |
Practice location
1200 Golden Key Cir#140
El Paso, TX 79925-5820
Phone 915-598-9052 · Fax 915-598-3674
Mailing address
1200 Golden Key Cir#140
El Paso, TX 79925-5820
Phone 915-598-9052 · Fax 915-598-3674
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