Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 1792 | AL |
N | 103TC0700X | Clinical Psychologist | 1792 | AL |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 1792 | AL |
Y | 103G00000X | Clinical Psychologist | 1792 | AL |
Y | 103TC0700X | Clinical Psychologist | 1792 | AL |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 1792 | AL |
N | 103TH0004X | Health Psychologist | 1792 | AL |
N | 103TH0100X | Health Service | 1792 | AL |
N | 103TM1800X | Intellectual & Developmental Disabilities | 1792 | AL |
NPI | 1083958813 |
---|---|
Provider Name | Dr. William Jeffrey Bryson |
First Address | Huntsville, AL 35801-6437 |
Second Address | Huntsville, AL 35801-6437 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2012 |
Last Update Date | 17/03/2018 |