Doctor Name: | MRS. TIARA L BRYANT |
NPI Number: | 1003241027 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | SA12499 |
Business Practice Address: | 8955 Us Highway 301 N #195 Parrish, FL - 342198701 |
Business Phone Number: | 9413159838 |
Business Fax Number: | 9413158551 |
Mailing Address: | 8955 Us Highway 301 N, #195 PARRISH |
State: | FL |
Postal Code: | 342198701 |
Phone Number: | 9413159838 |
Fax Number: | 9413158551 |
NPI Enumeration Date: | 09/10/2013 |
NPI Last Update Date: | 02/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA12499 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |