Individual
DR. CHARLOTTE ANNE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED PSYCHOLOGIS
Contact information
Practice address
3100 W LAKE ST, SUITE 300, MINNEAPOLIS, MN 55416-4527
(612) 801-3571
(612) 929-9006
Mailing address
5019 UPTON AVE S, MINNEAPOLIS, MN 55410-2244
(612) 801-3571
(612) 929-9006
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0096
MN
103TB0200X
Cognitive & Behavioral Psychologist
LP0096
MN
103TC0700X
Clinical Psychologist
LP0096
MN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
LP0096
MN
Other
Enumeration date
01/01/2007
Last updated
09/11/2025
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