Individual
MRS. BERNADETTE MARY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LLP LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401005500
MI
103T00000X
Psychologist
6301010268
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120567
VALUE OPTIONS
MI
Enumeration date
11/27/2006
Last updated
09/11/2025
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