| Doctor Name: | MS. VIVIAN DELORES BRYANT |
| NPI Number: | 1003183567 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1551 Forum Pl Building 400 D & E West Palm Beach, FL - 334012319 |
| Business Phone Number: | 5616168411 |
| Business Fax Number: | 5616168412 |
| Mailing Address: | 1551 Forum Pl, Building 400 D & E WEST PALM BEACH |
| State: | FL |
| Postal Code: | 334012319 |
| Phone Number: | 5616168411 |
| Fax Number: | 5616168412 |
| NPI Enumeration Date: | 11/28/2011 |
| NPI Last Update Date: | 11/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |