Provider Information for 1881302404
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
LANETTE T BRYANT LCSW
Sex: Female
NPI: 1881302404
Last Updated: 2022-11-14
Certification Date: 2021-06-27
Certification Date: 2021-06-27
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1881302404 | ||||||||
| Enumeration Date | 2022-11-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 98 MARGARET ST APT D SOUTH PORTLAND, ME 04106-2057 United States Phone: 207-357-2969 | Fax: | ||||||||
| Primary Practice Address | 98 MARGARET ST APT D SOUTH PORTLAND, ME 04106-2057 United States Phone: 207-357-2969 | Fax: | ||||||||
| Secondary Practice Address(es) | 50 LYDIA LN | ||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|