Bryant, Leisl M
Bryant, Leisl M is an sole proprietor health care provider with primary practice located at 109 Ponemah Rd #12, Amherst NH 03031-2834. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bryant, Leisl M can be contacted via phone (603) 673-2205.Contact Information
Primary practice address
109 Ponemah Rd #12
Amherst NH 03031-2834
Phone: (603) 673-2205
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1068 | New Hampshire |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 8182 | Massachusetts |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 1068 | New Hampshire |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 8182 | Massachusetts |
Profile Details
| NPI number | 1659418499 |
|---|---|
| LBN Legal business name | Bryant, Leisl M |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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