Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist |
NPI | 1467966275 |
---|---|
Provider Name | Yentl Bryant |
First Address | New Orleans, LA 70115-5709 |
Second Address | New Orleans, LA 70115-5709 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2017 |
Last Update Date | 01/12/2017 |