Provider Demographics
NPI:1396632196
Name:BRYANT-MAYES, ALICIA YVETTE
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:YVETTE
Last Name:BRYANT-MAYES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3580 HOLLY ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-1210
Mailing Address - Country:US
Mailing Address - Phone:720-252-5199
Mailing Address - Fax:
Practice Address - Street 1:6115 E COLFAX AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-1512
Practice Address - Country:US
Practice Address - Phone:303-388-3339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist