Doctor Name: | MRS. LINDA CHRISTINE RYAN |
NPI Number: | 1114108263 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | R0429 |
Business Practice Address: | 13601 S Us Highway 71 Grandview, MO - 640303659 |
Business Phone Number: | 8169660338 |
Business Fax Number: | 8169661023 |
Mailing Address: | 13601 S Us Highway 71, GRANDVIEW |
State: | MO |
Postal Code: | 640303659 |
Phone Number: | 8169660338 |
Fax Number: | 8169661023 |
NPI Enumeration Date: | 11/16/2007 |
NPI Last Update Date: | 11/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | R0429 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |