Doctor Name: | MR. BRYAN CRISP |
NPI Number: | 1023139508 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMFT, BCBA |
License Number: | 1169 |
Business Practice Address: | 620 Lynndale Court Suite A Greenville, NC - 278585436 |
Business Phone Number: | 2524138890 |
Business Fax Number: | 2527567533 |
Mailing Address: | 620 Lynndale Court, Suite A GREENVILLE |
State: | NC |
Postal Code: | 278585436 |
Phone Number: | 2524138890 |
Fax Number: | 2527567533 |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 01/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1169 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |