Individual
KATHERYN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3259 CATLIN AVE, QUANTICO, VA 22134-5109
(703) 784-1785
Mailing address
714 KING ST APT 310, PORTSMOUTH, VA 23704-3463
(571) 241-6185
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
05904
MD
103TC0700X
Clinical Psychologist
Primary
05904
MD
Other
Enumeration date
03/24/2016
Last updated
04/02/2024
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