Provider Demographics
NPI:1669056891
Name:BRYCE, MONICA LILIAN
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:LILIAN
Last Name:BRYCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:LILITAN
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4001 DONAHO DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-3005
Mailing Address - Country:US
Mailing Address - Phone:361-946-2256
Mailing Address - Fax:469-535-9009
Practice Address - Street 1:5030 HOLLY RD STE A
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4759
Practice Address - Country:US
Practice Address - Phone:361-946-2256
Practice Address - Fax:469-535-9009
Is Sole Proprietor?:No
Enumeration Date:2021-05-12
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health