Healthcare Provider Details

I. General information

NPI: 1669387775
Provider Name (Legal Business Name): CAITLYN RYAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4918 MILAN RD
SANDUSKY OH
44870-5842
US

IV. Provider business mailing address

233 HULL LN
VERMILION OH
44089-4518
US

V. Phone/Fax

Practice location:
  • Phone: 419-627-3900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberCOND.20263604-SP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: