| Doctor Name: | LAURA JEAN RYAN |
| NPI Number: | 1073619656 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | S703 |
| Business Practice Address: | Psc 80 Box 20166 Apo Ap, CA - 963670086 |
| Business Phone Number: | 0118161173 |
| Business Fax Number: | |
| Mailing Address: | Psc 80 Box 20166, APO AP |
| State: | CA |
| Postal Code: | 963670086 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/15/2006 |
| NPI Last Update Date: | 02/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | S703 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |