Provider Information for 1750782934
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ANDREA RYAN M.A., L.P.C.
Sex: Female
NPI: 1750782934
Last Updated: 2020-05-26
Certification Date: 2020-05-26
Certification Date: 2020-05-26
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1750782934 | ||||||||||||
| Enumeration Date | 2014-09-08 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1142 CHATTAHOOCHEE DR SAVANNAH, TX 76227-7776 United States Phone: 940-442-3101 | Fax: | ||||||||||||
| Primary Practice Address | 1142 CHATTAHOOCHEE DR SAVANNAH, TX 76227-7776 United States Phone: 940-442-3101 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 1221 ABRAMS RD STE 232 | ||||||||||||
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