Individual
DR. RYAN A DUCKWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1388 BALDWIN ST STE A, JENISON, MI 49428-8937
(616) 296-2130
(616) 296-2148
Mailing address
1388 BALDWIN ST STE A, JENISON, MI 49428-8937
(616) 296-2130
(616) 296-2148
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
6301016570
MI
Other
Enumeration date
08/26/2014
Last updated
08/12/2016
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