Suzette Paige Bryan, MAC, LPC CANDIDATE

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1213 W Hanks TRL
Woodward, OK 73801-7601

Phone

(580) 254-5322

NPI assigned

Apr 2, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1962644112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 W HANKS TRL",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738017601",
            "telephone_number": "580-254-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 W HANKS TRL",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738017601",
            "telephone_number": "580-254-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "SUZETTE",
        "middle_name": "PAIGE",
        "credential": "MAC, LPC CANDIDATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brown Family Dentistry
• David Kyle Brown, DDS
• Jordan Brown
• Richard Dennis Brown, M.D.
• Tabatha Lyn Brown
• Callie Burbage
• Allison Butler
• Patsy S Bynum, CRNA
• Billie Byrd
• Julia Ann Byrn, PHARMD

• All providers in Woodward, OK
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.