Provider Demographics
NPI:1225224264
Name:BRYANT, KATHLYN LANGHAM (MED, LPC)
Entity Type:Individual
Prefix:MRS
First Name:KATHLYN
Middle Name:LANGHAM
Last Name:BRYANT
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:MS
Other - First Name:KATHY
Other - Middle Name:LANGHAM
Other - Last Name:BRYANT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MED, LPC
Mailing Address - Street 1:3741 RED BLUFF RD
Mailing Address - Street 2:315
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77503-3318
Mailing Address - Country:US
Mailing Address - Phone:713-475-0072
Mailing Address - Fax:713-472-8684
Practice Address - Street 1:3741 RED BLUFF RD
Practice Address - Street 2:315
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77503-3318
Practice Address - Country:US
Practice Address - Phone:713-475-0072
Practice Address - Fax:713-472-8684
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX01533101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health