Individual
DR. STEPHEN EDWARD RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
530 EAST SECOND STREET, DULUTH, MN 55805
(218) 786-5360
Mailing address
2931 E. BIDDLE ST., PATIENT ACCOUNTING, BALTIMORE, MD 21213
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6292
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2017
Last updated
09/07/2018
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