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Individual

KELLY LOGAN RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
852 S WEST ST, NAPERVILLE, IL 60540-6400
(630) 305-5122
Mailing address
1001 ROHLWING RD, ELK GROVE VILLAGE, IL 60007-3217
(847) 524-8800
(847) 524-8824

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
Primary
071.008948
IL

Other

Enumeration date
11/03/2008
Last updated
04/07/2021
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