Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 1067 | NH |
N | 103T00000X | Psychologist | 1067 | NH |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 1067 | NH |
N | 103TA0700X | Adult Development & Aging Psychologist | 1067 | NH |
N | 103G00000X | Clinical Psychologist | 1067 | NH |
N | 103TC0700X | Clinical Psychologist | 1067 | NH |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 1067 | NH |
N | 103TF0000X | Family Psychologist | 1067 | NH |
NPI | 1144364092 |
---|---|
Provider Name | Dr. Barton W. Bryant |
First Address | Amherst, NH 03031-2834 |
Second Address | Amherst, NH 03031-2834 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2007 |
Last Update Date | 08/07/2007 |