| Doctor Name: | MS. ANN MARIE BRYAN |
| NPI Number: | 1477635472 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | LISAC1514 |
| Business Practice Address: | 805 E Fremont Tombstone, AZ - 85638 |
| Business Phone Number: | 5204572217 |
| Business Fax Number: | 5204573270 |
| Mailing Address: | 304 E 7th St, BENSON |
| State: | AZ |
| Postal Code: | 85602 |
| Phone Number: | 5205869812 |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | LISAC1514 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |