Doctor Name: | KAREN OGILVIE BRYAN |
NPI Number: | 1275883241 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | J.D., M.A., LMHCA |
License Number: | |
Business Practice Address: | 33305 1st Way South - Suite B-203 The Center For Family And Lifespan Development Federal Way, WA - 98003 |
Business Phone Number: | 2532355956 |
Business Fax Number: | 2532355957 |
Mailing Address: | 33305 1st Way South - Suite B-203, The Center For Family And Lifespan Development FEDERAL WAY |
State: | WA |
Postal Code: | 98003 |
Phone Number: | 2532355956 |
Fax Number: | 2532355957 |
NPI Enumeration Date: | 09/17/2012 |
NPI Last Update Date: | 11/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |