Search › Colorado › 1041C0700X
Stephanie Bryan, LCSW, CAC III
NPI 1942441639 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1530 55th St
Boulder, CO 80303 - Phone
- (303) 397-0646
- Fax
- (303) 443-9338
- Organisation at this address
- Half Moon Health And Wellness, Ltd.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-03-10
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 Colorado