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Contact Information

DEVON A BRYANT JR
12145 ELM ST
PRINCESS ANNE, MD21853-1358
 Phone: 410-651-2204
 Fax: 410-651-0790
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for DEVON A BRYANT JR · (Male)

NPI # 1518520832
Status Active
Credentials
Entity Individual
Enumeration date 04/22/2019
Last updated 08/26/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MD Medicaid 140897600
  • MD Medicaid 140897601
  • MD Medicaid 140897602
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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