| Doctor Name: | H LEON BRYAN |
| NPI Number: | 1396856803 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ED.D |
| License Number: | |
| Business Practice Address: | 130 Center St Mountain State Psychological Services Keyser, WV - 267263520 |
| Business Phone Number: | 3047881113 |
| Business Fax Number: | 3047882777 |
| Mailing Address: | 1044 Longwood Ave, CUMBERLAND |
| State: | MD |
| Postal Code: | 215021931 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |