| NPI | 1780893669 |
|---|---|
| Professional Name | RUSSELL A. BRYANT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 50263) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 50263) |
| 1041C0700X Social Worker, Clinical (Licence: AK 1145) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2023-02-14 |