SearchWisconsin101YA0400X

Richard Bryant, SAC

NPI 1174136832 · on the registry since 2020

Practice

Address
2101 N Sherman Ave
Madison, WI 53704
Phone
(608) 241-4285
Fax
(608) 241-4286
Organisation at this address
Sober Living In Madison, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin