Tiara L Bryant, MS CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Parrish, FL

NPI 1003241027 · NPPES record last updated Feb 9, 2016

Key facts

NPI
1003241027
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SA12499 (FL)
Practice address
8955 US Highway 301 N
#195
Parrish, FL 34219-8701
Phone
(941) 315-9838
Fax
(941) 315-8551
NPI assigned
Sep 10, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA12499 FL Yes

Addresses

Primary practice location

8955 US Highway 301 N
#195
Parrish, FL 34219-8701

Mailing address

8955 US Highway 301 N
#195
Parrish, FL 34219-8701
Phone (941) 315-9838

Other providers in Parrish, FL

All providers in Parrish, FL · Speech-Language Pathologist in Florida

Sources for this page

Verify at the official NPI Registry.