Individual
DR. RYAN EDWARD BRESHEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
55 WHITCHER ST NE, SUITE 420, MARIETTA, GA 30060-1155
(770) 514-6760
(770) 794-8034
Mailing address
55 WHITCHER ST NE, SUITE 420, MARIETTA, GA 30060-1155
(770) 514-6760
(770) 794-8034
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY003306
GA LICENSE #
GA
Enumeration date
04/27/2008
Last updated
10/31/2019
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