Individual
DR. COLLEEN A RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
N1563 COUNTY ROAD H, PALMYRA, WI 53156-9738
(262) 370-7744
(262) 495-8689
Mailing address
N1563 COUNTY ROAD H, PALMYRA, WI 53156-9738
(262) 370-7744
(262) 495-8689
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TB0200X
Cognitive & Behavioral Psychologist
Primary
2387-57
WI
103TC2200X
Clinical Child & Adolescent Psychologist
2387-57
WI
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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