Individual
RYAN REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2701 CHESTNUT STATION COURT, LOUISVILLE, KY 40299
(800) 335-1060
Mailing address
4654 WESTGATE DR NW, COMSTOCK PARK, MI 49321
(616) 915-5017
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005580
MI
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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