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Individual

RYAN JOSEPH OCHOA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
TLL

Contact information

Practice address
2000 CHAMBERS RD, CARO, MI 48723-9293
(989) 673-3191
(989) 673-0064
Mailing address
2000 CHAMBERS RD, CARO, MI 48723-9293
(989) 673-3191
(989) 673-0064

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014000
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1758845
MI
Enumeration date
03/11/2009
Last updated
03/11/2009
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