| Doctor Name: | SANDRA ANN RYAN |
| NPI Number: | 1609072941 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., CCC-LP |
| License Number: | SLP1473 |
| Business Practice Address: | 3150 N Winding Brook Rd Flagstaff, AZ - 860010972 |
| Business Phone Number: | 9287747106 |
| Business Fax Number: | |
| Mailing Address: | 775 N Lone Oak Way, FLAGSTAFF |
| State: | AZ |
| Postal Code: | 860045814 |
| Phone Number: | 9285279929 |
| Fax Number: | |
| NPI Enumeration Date: | 06/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP1473 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| 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 |