Doctor Name: | MRS. TRESSA RENEE RYAN |
NPI Number: | 1891736211 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LICSW |
License Number: | 126906 |
Business Practice Address: | 216 Lafayette Rd Suite 206 North Hampton, NH - 038622445 |
Business Phone Number: | 6039641700 |
Business Fax Number: | 6039641701 |
Mailing Address: | 165 Deer Hill Rd, BRENTWOOD |
State: | NH |
Postal Code: | 038336600 |
Phone Number: | 6036794616 |
Fax Number: | |
NPI Enumeration Date: | 06/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 126906 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |