Doctor Name: | MS. BERNADETTE RYAN |
NPI Number: | 1003882218 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | CW013777 |
Business Practice Address: | 1204 Holly Ln Glen Mills, PA - 193429620 |
Business Phone Number: | 6108923800 |
Business Fax Number: | 4844681412 |
Mailing Address: | 1204 Holly Ln, GLEN MILLS |
State: | PA |
Postal Code: | 193429620 |
Phone Number: | 6108923800 |
Fax Number: | 4844681412 |
NPI Enumeration Date: | 02/27/2006 |
NPI Last Update Date: | 12/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW013777 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |