Doctor Name: | KINGSLEY BRYANT |
NPI Number: | 1609246420 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | CW016251 |
Business Practice Address: | 1024 Pottstown Pike Chester Springs, PA - 194253511 |
Business Phone Number: | 4848682026 |
Business Fax Number: | |
Mailing Address: | 2383 Harmonyville Rd, ELVERSON |
State: | PA |
Postal Code: | 195208975 |
Phone Number: | 4848682026 |
Fax Number: | |
NPI Enumeration Date: | 10/06/2015 |
NPI Last Update Date: | 10/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW016251 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |