Individual
MRS. CASEY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
401 N 30TH ST, MOUNT VERNON, IL 62864-2355
(618) 244-8068
Mailing address
314 W BEACON CT, MOUNT VERNON, IL 62864-5779
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.016919
IL
Other
Enumeration date
03/23/2022
Last updated
07/29/2024
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