Individual
JENNA MARIE RYCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
5499 OLD LOGAN RD, LOGAN, WV 25601-3072
(308) 627-4711
Mailing address
5499 OLD LOGAN RD, LOGAN, WV 25601-3072
(308) 627-4711
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
3247486526
KS
103TS0200X
School Psychologist
Primary
J3N148200276
WV
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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