Individual
KARIN S RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D, L.P.
Contact information
Practice address
11010 PRAIRIE LAKES DR, 350, EDEN PRAIRIE, MN 55344-3884
(952) 746-2522
(952) 746-0887
Mailing address
1900 SILVER LAKE RD NW, 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP5474
MN
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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