Doctor Name: | SIOBHAN RYAN-PERRY |
NPI Number: | 1093016909 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | Nunn Drive University Center #440 Highland Heights, KY - 41099 |
Business Phone Number: | 8595725650 |
Business Fax Number: | 8595725615 |
Mailing Address: | Po Box 671205, DALLAS |
State: | TX |
Postal Code: | 752671205 |
Phone Number: | 8668906390 |
Fax Number: | 4697354640 |
NPI Enumeration Date: | 11/09/2010 |
NPI Last Update Date: | 11/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |