Cynthia Candace Bryan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6920 Issued in LA

Practice address

1106 McQuay Dr
Ruston, LA 71270-3796

Phone

(318) 507-5056

NPI assigned

Jan 29, 2022

Last updated

Jan 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643414400000",
    "number": "1043963184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 MCQUAY DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703796",
            "telephone_number": "318-507-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 MCQUAY DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703796",
            "telephone_number": "318-507-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "CYNTHIA",
        "middle_name": "CANDACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-29",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "6920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "address_1": "1106 McQuay Dr",
            "city": "Ruston",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712703796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jakob Brown
• Joseph Brown, ST
• Keanetta Nicole Brown
• Sidney Lafleur Brown, DPT
• Brandon Donald Bryan, CRNA
• Haley Bryan
• Jessica Bryan, LPC, NCC
• Matthew Dean Bryan, AU.D.
• Melinda F Bryan, PH.D., CCC-A
• Clay Dean Bryant

• Speech-Language Pathologist in Ruston, LA
• Providers in Ruston, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.