Individual
SANDRA ANN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-LP
Contact information
Practice address
3150 N WINDING BROOK RD, FLAGSTAFF, AZ 86001-0972
(928) 774-7106
Mailing address
775 N LONE OAK WAY, FLAGSTAFF, AZ 86004-5814
(928) 527-9929
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1473
AZ
Other
Enumeration date
06/24/2007
Last updated
07/08/2007
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