Individual
MRS. JENNIFER LYNN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
1313 BIG HORN AVE, WORLAND, WY 82401
(307) 347-8677
Mailing address
BOX 1191, POWELL, WY 82435
(307) 347-8677
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP382
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770688871
—
WY
Enumeration date
08/24/2007
Last updated
08/24/2007
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