Individual
PATRICIA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDP
Contact information
Practice address
101 BACON ST, PAWTUCKET, RI 02860-5542
(401) 722-3560
(401) 724-3120
Mailing address
101 BACON ST, PAWTUCKET, RI 02860-5542
(401) 722-3560
(401) 724-3120
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CDP00473
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
09/30/2011
Last updated
09/30/2011
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