Individual
BETINA GYSSELLE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3086 W MILANO DR, MERIDIAN, ID 83646-7288
(208) 996-0552
Mailing address
3086 W MILANO DR, MERIDIAN, ID 83646-7288
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-5934
—
Other
Enumeration date
08/22/2023
Last updated
12/29/2025
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