# DR MAUREEN RYAN MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871858480
- **Authorized official:** DR. MAUREEN RYAN MD (OWNER)
- **Authorized official phone:** (502) 295-3994

## Contact information

- **Practice address:** 8442 DIXIE HWY, LOUISVILLE, KY 40258-1140
- **Practice address phone:** (502) 657-8747
- **Practice address fax:** (502) 638-4281
- **Mailing address:** 8442 DIXIE HWY, LOUISVILLE, KY 40258-1140
- **Mailing address phone:** (502) 295-3994
- **Mailing address fax:** (502) 638-4281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 32751 | KY | Yes |

## Other

- **Enumeration date:** 07/10/2012
- **Last updated:** 11/10/2014
