Individual
MS. KATHERINE ANNE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D LCSW
Contact information
Practice address
14 S AUBURN AVE, RICHMOND, VA 23221-2910
(804) 359-6615
(804) 213-0676
Mailing address
14 S AUBURN AVE, RICHMOND, VA 23221-2910
(804) 359-6615
(804) 213-0676
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003623
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
288267
ANTHEM PROVIDER NUMBER
VA
Enumeration date
01/25/2006
Last updated
07/09/2007
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