Individual
DR. RYAN COUILLOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2704 N OAK ST BLDG A1, VALDOSTA, GA 31602-5901
(770) 833-9528
Mailing address
917 PINE CONE CIR, VALDOSTA, GA 31602-1967
(770) 833-9528
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003815
GA
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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