Gary Joseph Bryson, PSYD
Individual provider Active NPI Clinical Psychologist · Newington, CT
NPI 1346358504 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1346358504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 02280 (CT)
- Practice address
- 555 Willard Ave
Newington, CT 06111-2631 - Phone
- (860) 594-6348
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02280 | CT | MD | Ophthalmology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 02280 | CT | Yes |
Addresses
Primary practice location
555 Willard Ave
Newington, CT 06111-2631
Mailing address
43 Laydon Ave
North Haven, CT 06473-2705
Other providers in Newington, CT
- Mary Gail Brock
- Talia Morgan Brown
- Stephen Brownell
- Jamie Brownstein
- Michelle Bruneau
- Buckingham Community Services of CT Inc.
- Risa Budoff
- Richard Charles Buika
- Linda Marie Bunte
- Carlo Burgio
All providers in Newington, CT · Clinical Psychologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.