Individual
MRS. PATRICIA M. RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-S
Contact information
Practice address
DISTRICT ADMINISTRATIVE CENTER, 6330 W. THUNDERBIRD RD., GLENDALE, AZ 85306
(623) 486-6000
Mailing address
6427 W EVANS DR, GLENDALE, AZ 85306-3743
(623) 341-7469
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0620
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
622466
—
AZ
Enumeration date
03/08/2007
Last updated
07/09/2007
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