Organization
KATHERINE K. RYAN, PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE K RYAN PH.D. (OWNER/PSYCHOLOGIST)
(508) 284-1210
Entity
Organization
Contact information
Practice address
251 WOODFORD ST, PORTLAND, ME 04103-5617
(207) 773-2828
(207) 761-8150
Mailing address
251 WOODFORD ST, PORTLAND, ME 04103-5617
(207) 773-2828
(207) 761-8150
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
1334
ME
261QM0855X
Adolescent and Children Mental Health Clinic/Center
1334
ME
Other
Enumeration date
07/23/2012
Last updated
10/03/2013
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