Organization Name: | RYAN PEDIATRIC THERAPIES |
NPI Number: | 1336464015 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIFFANY BETH RYAN (OWNER/ SPEECH PATHOLOGIST) |
Mailing Address: | 107 N Rockingchair Rd Paragould |
State: | AR US |
Postal Code: | 724502414 |
Phone Number: | 8708972372 |
Fax Number: | 8702362529 |
NPI Enumeration Date: | 04/06/2010 |
NPI Last Update Date: | 04/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |