Individual
KEVIN E RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED LPC
Contact information
Practice address
2300 COMPUTER RD STE C15, WILLOW GROVE, PA 19090-1735
(484) 440-9740
Mailing address
2300 COMPUTER RD STE C15, WILLOW GROVE, PA 19090-1735
(484) 440-9740
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC013135
PA
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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