Organization
BLUE RIDGE NEUROPSYCHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS V RYAN (CLINICAL PSYCHOLOGIST)
(540) 886-3956
Entity
Organization
Contact information
Practice address
40 LAMBERT ST, STE 222, STAUNTON, VA 24401-2446
(540) 886-3956
(540) 886-3975
Mailing address
40 LAMBERT ST, STE 222, STAUNTON, VA 24401-2446
(540) 886-3956
(540) 886-3975
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001474
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750554036
INDIVIDUAL NPI
VA
Enumeration date
03/17/2016
Last updated
11/18/2016
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