Provider Demographics
NPI:1821261926
Name:BRYSON, SYDNEY NICOLE (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:SYDNEY
Middle Name:NICOLE
Last Name:BRYSON
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1995 YORKSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-3885
Mailing Address - Country:US
Mailing Address - Phone:301-396-8382
Mailing Address - Fax:301-396-8382
Practice Address - Street 1:1995 YORKSHIRE LN
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-3885
Practice Address - Country:US
Practice Address - Phone:301-396-8382
Practice Address - Fax:301-396-8382
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2609101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional