STACIE L. BRYANT

AVON, IN
NPI1982930780
Former NameSTACIE L. BRYANT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IN  22003399A)
Enumeration Date2009-10-29
Last Update Date2009-10-29
Business Address
Mrs. STACIE L. BRYANT M.S., CCC-SLP
603 PORT DRIVE
AVON, IN 46123-4612
Phone number: 317-272-8238
Mailing Address
Mrs. STACIE L. BRYANT M.S., CCC-SLP
603 PORT DR
AVON, IN 46123-1239
Phone number: 317-272-8238