Bryant, Andrew Mark
Bryant, Andrew Mark is an individual health care provider with primary practice located at 1020 N 12Th St , Milwaukee WI 53233-1308. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Bryant, Andrew Mark can be contacted via phone (414) 773-4312.Contact Information
Primary practice address
1020 N 12Th St
Milwaukee WI 53233-1308
Phone: (414) 773-4312
Fax: (414) 219-5422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 5201 | Wisconsin |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 5201 | Wisconsin |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | P.08314 | Ohio |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | P.08314 | Ohio |
Profile Details
| NPI number | 1023509858 |
|---|---|
| LBN Legal business name | Bryant, Andrew Mark |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2018 |
| Last updated | Jun 8th, 2026 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023509858 | NPPES |
| Wisconsin | MEDICAID | 100285323 |
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