Provider Demographics
NPI:1538172242
Name:BRYANT, PATRICIA H (LCSW, RN, CS)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:H
Last Name:BRYANT
Suffix:
Gender:F
Credentials:LCSW, RN, CS
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Mailing Address - Street 1:810 BLUE RIDGE AVENUE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BEDFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24523-2433
Mailing Address - Country:US
Mailing Address - Phone:540-587-5852
Mailing Address - Fax:540-587-5853
Practice Address - Street 1:810 BLUE RIDGE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:BEDFORD
Practice Address - State:VA
Practice Address - Zip Code:24523-2433
Practice Address - Country:US
Practice Address - Phone:540-587-5852
Practice Address - Fax:540-587-5853
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA09040039511041C0700X
VA0001082678163WG0000X
VA0015000456364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Not Answered364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health