Michele Merrell Bryan, PH.D.
Individual provider Active NPI Marriage & Family Therapist · Saint Louis, MO
NPI 1487861399 · NPPES record last updated Sep 13, 2012
Key facts
- NPI
- 1487861399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 2003017952 (MO)
- Practice address
- 24 Dromara Rd
Saint Louis, MO 63124-1815 - Phone
- (314) 993-8964
- NPI assigned
- May 17, 2007
- 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)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003017952 | MO | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2003017952 | MO | Yes |
Addresses
Primary practice location
24 Dromara Rd
Saint Louis, MO 63124-1815
Mailing address
983 Gardenview Office Pkwy
Saint Louis, MO 63141-5917
Phone (314) 910-0404
Other providers in Saint Louis, MO
- Bryan Warner MD PC
- Bruce L Bryan
- Darla Jean Bryan
- Marisa Bryan
- Melanie Merrell Bryan
- Rance Bryan
- Andrew Michael Bryant
- Angela M Bryant
- Davida Bryant
- Elizabeth Ashmead Bryant
All providers in Saint Louis, MO · Marriage & Family Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 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.