Organization
RYAN C STALEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN CHRISTOPHER STALEY PSY.D. (CLINICAL PSYCHOLOGIST)
(785) 766-2947
Entity
Organization
Contact information
Practice address
1408 POYNTZ AVE, MANHATTAN, KS 66502-4145
(785) 776-4105
Mailing address
907 OSAGE ST, MANHATTAN, KS 66502-5436
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2172
KS
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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