DR. SUSAN L BRYANT (NPI# 1073510582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073510582 |
| Entity Type | Individual |
| Full Name | DR. SUSAN L BRYANT |
| Credential | PH.D. |
| Practice Address |
1301 Wilson Rd Little Rock AR 72205-6659 |
| Practice Telephone | 5012250576 |
| Practice Fax Number | 5012256789 |
| Mailing Telephone | 5012250576 |
| Mailing Fax Number | 5012256789 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2007-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
97-10P | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | CLINIC NPI # | 1932174836 | 01 |
| AR | LOCAL BCBS | 5U245 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982046462 | Susan Lynn Bryant | Specialist/Technologist | 12709 Williston Road, East Aurora, NY 14052 | 2013-07-24 |
| 1639652985 | Susan Jean Bryant | Community/Behavioral Health | 850 Mill St, Reno, NV 89502-1413 | 2018-09-12 |
| 1689163495 | Susan Bryant | Hearing Instrument Specialist | 2600 Martin Way E Ste A, Olympia, WA 98506-4974 | 2018-05-07 |
| 1093161804 | Susan Bryant | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2016-05-11 |
| 1194100818 | Susan Lashea Bryant | Social Worker | 462 1st Ave, C-building, Adult Outpatient Clinic, New York, NY 10016-9196 | 2015-07-23 |
| 1255631594 | Susan Saylors Bryant | Physical Therapist | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2010-11-02 |
| 1841507936 | Susan Bryant | Speech-Language Pathologist | 6 Mortland Rd, Searsport, ME 04974-3332 | 2010-09-10 |
| 1750536900 | Susan Bryant | Counselor | 120 S Treaty Road, Miami, OK 74354 | 2008-12-01 |
| 1912196668 | Susan Bryant | Audiologist-Hearing Aid Fitter | 2045 Asher Ct, East Lansing, MI 48823-8444 | 2007-10-18 |
| 1538221056 | Susan Carol Bryant | Massage Therapist | 729 Sunrise Ave, #606, Roseville, CA 95661-4565 | 2006-12-14 |
| Street Address |
1301 WILSON RD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-6659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497385009 | Cara Jane Meckfessel | Nurse Practitioner | 1301 Wilson Rd, Little Rock, AR 72205-6659 | 2020-01-22 |
| 1841624848 | Katherine James | Social Worker | 1301 Wilson Rd, Little Rock, AR 72205-6659 | 2013-08-26 |
| 1275861403 | Angela Renee Herndon | Nurse Practitioner | 1301 Wilson Rd, Little Rock, AR 72205-6659 | 2009-11-30 |
| 1134212947 | Jeremy R Thompson | Psychiatry & Neurology | 1301 Wilson Rd, Little Rock, AR 72205-6659 | 2006-10-02 |
| 1932174836 | Rice Clinic Pa | Psychologist | 1301 Wilson Rd, Little Rock, AR 72205-6659 | 2006-02-22 |
| 1164409512 | Stephanie Harrington | Social Worker | 1301 Wilson Rd, Little Rock, AR 72205-6659 | 2005-12-28 |
| 1396742706 | Florence Maurine Richardson | Social Worker | 1301 Wilson Rd, Little Rock, AR 72205-6659 | 2005-06-30 |
| 1730186149 | Ron Mccafferty | Social Worker | 1301 Wilson Rd, Little Rock, AR 72205-6659 | 2005-06-30 |
| 1215934716 | Robert Kevin Rowell | Psychologist | 1301 Wilson Rd, Little Rock, AR 72205-6659 | 2005-06-30 |
| 1083611495 | Doug Damron | Counselor | 1301 Wilson Rd, Little Rock, AR 72205-6659 | 2005-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043630734 | The Sage Center for Trauma and Wellness, Pllc | Psychologist | 2725 Cantrell Rd Ste 105, Little Rock, AR 72202-2044 | 2014-04-21 |
| 1134468895 | Brian Anderson | Psychologist | 1100 N University Ave Ste 108, Little Rock, AR 72207-6356 | 2013-01-31 |
| 1427300532 | Joy R. Pemberton | Psychologist | 4301 W. Markham, #554, Psychiatric Research Institute, Uams, Little Rock, AR 72205 | 2012-10-12 |
| 1548577521 | Laura Jane Gambone Nobles | Psychologist | 2723 Foxcroft Rd Ste 202a, Little Rock, AR 72227-6522 | 2010-09-11 |
| 1083858005 | George K. Simon Jr. | Psychologist | 1 Innwood Cir Ste 124, Little Rock, AR 72211-2448 | 2009-04-21 |
| 1730356825 | Tisha Lee Deen | Psychologist | 2723 Foxcroft Rd Ste 202, Little Rock, AR 72227-6522 | 2008-05-08 |
| 1205000403 | Meagan Rae Mcpherson | Psychologist | 10515 W Markham St Ste E3, Little Rock, AR 72205-2139 | 2008-04-17 |
| 1366635518 | Daniel John Broderick | Psychologist | 5 Chalamont Ct, Little Rock, AR 72223-5511 | 2007-08-21 |
| 1881894806 | Tracie L. Pasold | Psychologist | 800 Marshall St # 512-9, Dept. of Pediatrics, Section of Adolescent Medicine, Little Rock, AR 72202-3510 | 2007-07-18 |
| 1306976477 | Clinical Psychology Services, Inc. | Psychologist | 18 Corporate Hill Dr Ste 205, Little Rock, AR 72205-4541 | 2007-03-06 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on DR. SUSAN L BRYANT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.