Doctor Name: | MRS. TAMELA JOAN BRYAN |
NPI Number: | 1982993549 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | NC C006910 |
Business Practice Address: | 205 Dayrell Dr Hubert, NC - 285394405 |
Business Phone Number: | 9109343433 |
Business Fax Number: | 9104496240 |
Mailing Address: | Psc Box 21001, Marine & Family Services JACKSONVILLE |
State: | NC |
Postal Code: | 285451001 |
Phone Number: | 9104495241 |
Fax Number: | 9104496240 |
NPI Enumeration Date: | 04/05/2011 |
NPI Last Update Date: | 04/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | NC C006910 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |