ROBERT LEE BRYANT BA MS PHD NPI 1184133241

NPI Information

  • NPI: 1184133241
  • Provider Name: ROBERT LEE BRYANT, BA, MS, PHD
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1037 FAYETTE DR
    FORT WAYNE, IN
    ZIP 46816
  • Phone: (260) 447-4970

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NPI Details

Robert Lee Bryant, BA, MS, PHD is a mental health counselor in Fort Wayne, IN. Robert Lee Bryant, BA, MS, PHD NPI is 1184133241. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1037 FAYETTE DR
FORT WAYNE, IN
ZIP 46816-610
Phone: (260) 447-4970

The NPI 1184133241 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/21/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health39000382AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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