Bryant, Jill Kathleen

Bryant, Jill Kathleen is an sole proprietor health care provider with primary practice located at 1375 7Th Ave Ste D , Marion IA 52302-3450. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bryant, Jill Kathleen can be contacted via phone (319) 531-1149.

Contact Information

Primary practice address
1375 7Th Ave Ste D Marion IA 52302-3450
Phone: (319) 531-1149
Fax: (319) 538-0278
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 00984 Iowa
Behavioral Health & Social Service Providers / School 101YS0200X 212071 Iowa

Profile Details

NPI number 1730179094
LBN Legal business name Bryant, Jill Kathleen
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2005
Last updated Jan 4th, 2017 - about 9 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730179094 NPPES
Iowa MEDICAID 4720

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