Individual
DR. RYAN MICHAEL ANDRESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(414) 759-9204
Mailing address
1241 N MILWAUKEE AVE UNIT 510, CHICAGO, IL 60622-9305
(414) 759-9204
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSYC.00014361
CO
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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