| Doctor Name: | MRS. SUSAN BRYAN |
| NPI Number: | 1245525310 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 37PC00341700 |
| Business Practice Address: | 101 Route 130 S Suite 321 Cinnaminson, NJ - 080772845 |
| Business Phone Number: | 6094587180 |
| Business Fax Number: | |
| Mailing Address: | 101 Route 130 S, Suite 321 CINNAMINSON |
| State: | NJ |
| Postal Code: | 080772845 |
| Phone Number: | 6094587180 |
| Fax Number: | |
| NPI Enumeration Date: | 06/16/2011 |
| NPI Last Update Date: | 06/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00341700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |