Individual
ERIKA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2155 MAIN ST, SPRINGFIELD, MA 01104-3301
(413) 736-0395
Mailing address
2155 MAIN ST, SPRINGFIELD, MA 01104-3301
(413) 736-0395
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2292575
MA
Other
Enumeration date
08/07/2012
Last updated
09/18/2020
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