| Doctor Name: | MRS. KATIE ELAINE RYAN |
| NPI Number: | 1104941715 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MFT 106H00000X |
| License Number: | 40314 |
| Business Practice Address: | 23504 Lyons Ave Ste 204 Newhall, CA - 913212534 |
| Business Phone Number: | 6612862550 |
| Business Fax Number: | 6612862567 |
| Mailing Address: | 40213 Calle Rosalito, SANTA CLARITA |
| State: | CA |
| Postal Code: | 913901088 |
| Phone Number: | 6612862550 |
| Fax Number: | 6612862567 |
| NPI Enumeration Date: | 03/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 40314 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |