Doctor Name: | DEBORAH RACHELL BRYANT |
NPI Number: | 1194006916 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | 421925 |
Business Practice Address: | 18880 Cherry Valley Blvd Tuolumne, CA - 953799506 |
Business Phone Number: | 2099285400 |
Business Fax Number: | 2099285412 |
Mailing Address: | Po Box 3322, SONORA |
State: | CA |
Postal Code: | 953703322 |
Phone Number: | 2095334589 |
Fax Number: | |
NPI Enumeration Date: | 09/07/2011 |
NPI Last Update Date: | 09/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0807X |
License Number: | 421925 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
Taxonomy Definition: |