| Doctor Name: | BRENDA B. BRYANT |
| NPI Number: | 1003936378 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | MC6545 |
| Business Practice Address: | 1066 Kenduskeag Ave Bangor, ME - 044012914 |
| Business Phone Number: | 2079412855 |
| Business Fax Number: | 2079412835 |
| Mailing Address: | 1066 Kenduskeag Ave, BANGOR |
| State: | ME |
| Postal Code: | 044012914 |
| Phone Number: | 2072991956 |
| Fax Number: | |
| NPI Enumeration Date: | 03/30/2007 |
| NPI Last Update Date: | 10/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | MC6545 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |