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Individual

DR. KRISTEN ANN RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D., LP

Contact information

Practice address
190 5TH ST E, STE. 100, SAINT PAUL, MN 55101-2666
(651) 389-4677
(651) 389-4690
Mailing address
4155 PILLSBURY AVE S, MINNEAPOLIS, MN 55409-1542
(612) 695-0470
(612) 824-4381

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
4444
MN
103TC0700X
Clinical Psychologist
Primary
4444
MN

Other

Enumeration date
10/12/2006
Last updated
03/09/2009
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