Doctor Name: | MONA RENA RYAN |
NPI Number: | 1013907971 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 621 |
Business Practice Address: | 1200 N Stonewall Ave John W Keys Speech And Hearing Oklahoma City, OK - 731171215 |
Business Phone Number: | 4052714214 |
Business Fax Number: | 4052713360 |
Mailing Address: | 1200 N Stonewall Ave, John W Keys Speech And Hearing OKLAHOMA CITY |
State: | OK |
Postal Code: | 731171215 |
Phone Number: | 4052714214 |
Fax Number: | 4052713360 |
NPI Enumeration Date: | 10/24/2005 |
NPI Last Update Date: | 03/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 621 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |