Doctor Name: | DR. JEANNE PAULA RYAN |
NPI Number: | 1063567717 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 013297 |
Business Practice Address: | 39 Court St Plattsburgh, NY - 129012801 |
Business Phone Number: | 5185360330 |
Business Fax Number: | 5185636658 |
Mailing Address: | 16 Pine Ridge Dr, MORRISONVILLE |
State: | NY |
Postal Code: | 129629797 |
Phone Number: | 5184204929 |
Fax Number: | 5185636658 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 02/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 013297 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |