Provider Demographics
NPI:1073615548
Name:BRYMAN, PAULA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:
Last Name:BRYMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4368 DUNMORE RD NE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-4221
Mailing Address - Country:US
Mailing Address - Phone:678-560-0281
Mailing Address - Fax:404-303-0661
Practice Address - Street 1:300 W WIEUCA RD NE
Practice Address - Street 2:BLDG. 2, STE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-3352
Practice Address - Country:US
Practice Address - Phone:404-255-7929
Practice Address - Fax:404-303-0661
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0017191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical