| Doctor Name: | MR. RYAN PATRICK SMITH |
| NPI Number: | 1073758769 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S.W, LSW |
| License Number: | I.1000155 |
| Business Practice Address: | 6797 N High St Ste 350 Worthington, OH - 430852533 |
| Business Phone Number: | 6148889200 |
| Business Fax Number: | |
| Mailing Address: | 1191 Shanley Dr, COLUMBUS |
| State: | OH |
| Postal Code: | 432242063 |
| Phone Number: | 6146340537 |
| Fax Number: | |
| NPI Enumeration Date: | 12/09/2008 |
| NPI Last Update Date: | 02/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I.1000155 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |