Bryant, Timothy Allen

Bryant, Timothy Allen is an sole proprietor health care provider with primary practice located at 1205 River Ave Fl 2 , Williamsport PA 17701-3724. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Bryant, Timothy Allen can be contacted via phone (570) 326-4118.

Contact Information

Primary practice address
1205 River Ave Fl 2 Williamsport PA 17701-3724
Phone: (570) 326-4118
Fax: (570) 326-5533
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MF000005 Pennsylvania

Profile Details

NPI number 1396715520
LBN Legal business name Bryant, Timothy Allen
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2006
Last updated Apr 13th, 2022 - about 3 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 1396715520 NPPES
Pennsylvania MEDICAID 1035097520001

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