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NPI Code Detail

MEDICARE: PRISCILLA RYAN M.S., CCC-SLP

MEDICARE: PRISCILLA RYAN M.S., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist283681KY

General Provider Information

NPI Number : 1134056997
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRISCILLA RYAN M.S., CCC-SLP
Provider Business Mailing Address
First Line : 2304 BENTWOOD CT
Second Line :
City : HEBRON
State : KY
Zip : 41048-3507
Country : US
Telephone Number : 877-787-3430
Fax Number :
Provider Business Practice Location Address
First Line : 2990 RIGGS AVE
Second Line :
City : ERLANGER
State : KY
Zip : 41018-3029
Country : US
Telephone Number : 877-787-3430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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Directions to “ PRISCILLA RYAN M.S., CCC-SLP” Practice Location

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