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Individual
MR. STEPHEN O RYAN
Active
Individual
MR. STEPHEN O RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 7827
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1628174
CIGNA PROVIDER #
FL
01
—
1851663496
GROUP NPI
FL
01
—
273239
WELLCARE PROVIDER NUMBER
FL
01
—
277791
AMERIGROUP MEDICAID HMO
FL
Enumeration date
05/08/2007
Last updated
05/12/2015
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