Individual
RYAN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2350 POLE AVE, LORAIN, OH 44052-4301
(440) 277-1008
Mailing address
2350 POLE AVE, LORAIN, OH 44052-4301
(440) 277-1008
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH3083777
OH
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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