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NPI Code Detail

MEDICARE: CATHRYN RYAN

MEDICARE:   CATHRYN  RYAN
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
1103K00000XBehavior Analyst1-21-53279NJ

General Provider Information

NPI Number : 1679235493
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHRYN RYAN
Provider Business Mailing Address
First Line : 640 FREEDOM BUSINESS CTR DR STE 220
Second Line :
City : KING OF PRUSSIA
State : PA
Zip : 19406-1376
Country : US
Telephone Number : 484-965-9966
Fax Number : 484-231-8631
Provider Business Practice Location Address
First Line : 1001 BRIGGS RD STE 280
Second Line :
City : MOUNT LAUREL
State : NJ
Zip : 08054-4104
Country : US
Telephone Number : 856-955-0811
Fax Number : 484-231-8631
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2021
Last Update Date : 10/08/2021

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Directions to “ CATHRYN RYAN ” Practice Location

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