Provider Demographics
NPI:1356415822
Name:DAY, BRYON (PHD)
Entity type:Individual
Prefix:
First Name:BRYON
Middle Name:
Last Name:DAY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4187 PRAIRIE MEADOW CT NE
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-9615
Mailing Address - Country:US
Mailing Address - Phone:319-936-4357
Mailing Address - Fax:
Practice Address - Street 1:332 S LINN ST STE 35
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-1608
Practice Address - Country:US
Practice Address - Phone:319-936-4357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2019-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20106H00000X
IA11101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA01-0792022OtherTAXPAYER ID
IA11OtherMENTAL HEALTH COUNSELOR
IA61034OtherAAMFT CLINICAL MEMBER
IA20OtherMARITAL &FAMILY THERAPIST