Individual
VALERIA R RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
60 PROFESSIONAL PARK DRIVE, LOUISA, KY 41230
(606) 638-4332
(606) 638-4394
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
KY0860
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000217960
ANTHEM BCBS
—
01
—
10984
CHA
—
01
—
11490840
CAQH
—
01
—
279404
MANAGED HEALTH
—
05
—
30610026
—
KY
Enumeration date
08/18/2006
Last updated
07/08/2007
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