Individual
KATHERYN RYAN
Active
Individual
KATHERYN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
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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