| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CHASSIDY LEE BRYAN | 1881258507 | 2024-11-08 |
Chassidy Lee Bryan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1881258507. Registration indicates Chassidy Lee Bryan is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Chassidy Lee Bryan MA PSYCHOLOGY |
| Practice Office Address | 2537 EISENHOWER RD OTTAWA, KS US |
| Practice Office Telephone | 7852423780 |
| Mailing Address | 2537 EISENHOWER RD OTTAWA, KS 660679482 US |
| Business Telephone | 6207575328 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 3609 Gunnison Dr | Lawrence, KS 660494280 | 6207575328 |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | LMLP03019
KS |