Provider Demographics
NPI:1457549420
Name:BRYANT, CHEVAL VELAY (MCD,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CHEVAL
Middle Name:VELAY
Last Name:BRYANT
Suffix:
Gender:F
Credentials:MCD,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1807 SUTTERS CHASE DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-7000
Mailing Address - Country:US
Mailing Address - Phone:713-446-4072
Mailing Address - Fax:281-545-9258
Practice Address - Street 1:1807 SUTTERS CHASE DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-7000
Practice Address - Country:US
Practice Address - Phone:713-446-4072
Practice Address - Fax:281-545-9258
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18961235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1608168-01Medicaid