Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES DOUGLAS BRYAN
ActiveCHARLES DOUGLAS BRYAN is a Clinical Social Worker healthcare provider located in BLACKFOOT, Idaho. NPI 1689315111 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BLACKFOOT, ID
Registration Details
- NPI Number
- 1689315111
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2022 (4.3343349459097 yrs)
- Last Updated
- Apr 6, 2022
- License
-
LMSW-27872 (ID)
Practice Information
- Address
-
373 W HIGHWAY 39 STE 1BLACKFOOT, ID, 832215228Browse ID providers · Browse ZIP 83221
- Phone
- 2085579450
- Fax
- 2085617111
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in BLACKFOOT, ID
| Name | Credential | NPI |
|---|---|---|
| BARBARA PANCOAST YOUNG | LCSW | 1831272970 |
| MRS. GENEVIEVE LAFAYE THOMAS | LCSW | 1548330814 |
| MRS. ANNE MARIE PRESTON | L.C.S.W | 1467518704 |
| MRS. LETICIA J REYES | LMSW | 1760512396 |
| MRS. TONIE KAY HEATH | LCSW26074 | 1205053212 |
| MS. SANDEE K YOUNG | LCSW | 1215177704 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.