Individual
MISTIE D RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23213 BROOKDALE BLVD, SAINT CLAIR SHORES, MI 48082-2141
(586) 883-2670
Mailing address
23213 BROOKDALE BLVD, SAINT CLAIR SHORES, MI 48082-2141
(586) 883-2670
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PP0000001211250
MI
Other
Enumeration date
08/22/2025
Last updated
08/28/2025
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