Individual
MR. MATTHEW RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6832 OLD DOMINION DR, SUITE 200, MC LEAN, VA 22101-3887
(703) 255-1091
(703) 255-1091
Mailing address
6832 OLD DOMINION DR, SUITE 200, MC LEAN, VA 22101-3887
(703) 255-1091
(703) 255-1091
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701005058
VA
Other
Enumeration date
11/27/2011
Last updated
11/27/2011
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