Bryson Bresnahan, PH.D.
Individual provider Active NPI Psychologist · Moon TWP, PA
NPI 1043561202 · NPPES record last updated Sep 27, 2012
Key facts
- NPI
- 1043561202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- Practice address
- 1150 Thorn Run Rd
Suite 110
Moon TWP, PA 15108-3102 - Phone
- (412) 329-7778
- Fax
- (412) 262-1555
- NPI assigned
- Sep 27, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Behavioral Diagnostics and Treatment, LLC | Psychologist | Past |
Accepting new patients |
| Associates in Behavioral Diagnostics and Treatment, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Yes | ||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| School Psychologist | 103TS0200X |
Addresses
Primary practice location
1150 Thorn Run Rd
Suite 110
Moon TWP, PA 15108-3102
Mailing address
1150 Thorn Run Rd
Suite 110
Moon TWP, PA 15108-3102
Phone (412) 329-7778
Other providers in Moon TWP, PA
- Aurora Health Services, LLC
- Aurora Recovery Services, LLC
- Sarah Beth Bartko
- Brenna Bish
- Shannon Elizabeth Booth
- Jeffrey Frank Cappuccio
- Maria Macarena Castellon
- Darla M Clayton
- David A Corral
- Alene Marie D'Alesio
All providers in Moon TWP, PA · Psychologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.