Individual
DR. LISA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
31452 VETERANS MEMORIAL HWY, TERRA ALTA, WV 26764-9715
(304) 789-1029
Mailing address
247 CATHEDRAL PARK DR, AURORA, WV 26705-8217
(304) 698-4567
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
05746
MD
103TC0700X
Clinical Psychologist
Primary
1092
WV
Other
Enumeration date
02/05/2016
Last updated
02/01/2017
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