Provider Demographics
NPI:1811564362
Name:BRYAN, LAUREN (MSW, LCSW, CAGS)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:
Last Name:BRYAN
Suffix:
Gender:F
Credentials:MSW, LCSW, CAGS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-3231
Mailing Address - Country:US
Mailing Address - Phone:603-673-4411
Mailing Address - Fax:
Practice Address - Street 1:80 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-3231
Practice Address - Country:US
Practice Address - Phone:603-673-4411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-04
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH101YS0200X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool