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NPI Code Detail

MEDICARE: CHRISTINE RYAN CCC-SLP

MEDICARE: CHRISTINE RYAN 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 Pathologist58 026127NY

General Provider Information

NPI Number : 1144763921
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE RYAN CCC-SLP
Provider Business Mailing Address
First Line : 664 ORANGEBURG RD
Second Line :
City : PEARL RIVER
State : NY
Zip : 10965-2830
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 664 ORANGEBURG RD
Second Line :
City : PEARL RIVER
State : NY
Zip : 10965-2830
Country : US
Telephone Number : 845-735-3066
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2016
Last Update Date : 01/21/2026

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Directions to “ CHRISTINE RYAN CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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