Individual
DR. NICOLE MICHELE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
10 N GREENE ST APT 603, BALTIMORE, MD 21201-1524
(732) 910-7030
Mailing address
10 N GREENE ST, BALTIMORE, MD 21201-1524
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS019332
PA
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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