Individual
JILL L RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
600 CENTRAL AVE SE STE 221, ALBUQUERQUE, NM 87102-4644
(505) 345-9288
Mailing address
600 CENTRAL AVE SE STE 221, ALBUQUERQUE, NM 87102-4644
(505) 345-9288
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1147
NM
Other
Enumeration date
08/16/2010
Last updated
10/26/2017
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