Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jimmy Bryant, CLINICALPSYCHOLOGIST

Individual provider Community Health Worker · NPI 1699017947

Jimmy Bryant, CLINICALPSYCHOLOGIST is a Community Health Worker in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2013.

Licensed in
PA
In the registry since
2013

Practice location Address checks out

1213 Vine St Ste 121
Philadelphia, PA 19107-1111
Phone: (215) 617-6510
Fax: (866) 854-7888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 455324367 (PA)

Record details

NPI number1699017947
Entity typeIndividual (Type 1)
GenderMale
Credentials CLINICALPSYCHOLOGIST
Sole proprietorNo
NPI enumeratedMarch 25, 2013
Last updated in NPPESMarch 25, 2013

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