Individual
DR. RYAN WILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
320 S COLLINGTON AVE, BALTIMORE, MD 21231-2732
(240) 520-4493
Mailing address
1525 GREENSPRING VALLEY RD, STEVENSON, MD 21153-0641
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
07190
MD
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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