Individual
MICAILAH JOY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
180 GREEN ST, ANNAPOLIS, MD 21401-2502
(407) 775-1341
Mailing address
1002 SPA RD APT 201, ANNAPOLIS, MD 21403-5946
(407) 775-1341
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11167
MD
Other
Enumeration date
08/16/2024
Last updated
09/16/2024
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