| Katherine K. Ryan, Phd, Llc | |
|
251 Woodford St Portland ME 04103-5617 | |
| (207) 773-2828 | |
| (207) 761-8150 |
| Full Name | Katherine K. Ryan, Phd, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 251 Woodford St, Portland, Maine |
| Authorized Official Name and Position | Katherine K Ryan (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 5082841210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine K. Ryan, Phd, Llc 251 Woodford St Portland ME 04103-5617 Ph: (207) 773-2828 | Katherine K. Ryan, Phd, Llc 251 Woodford St Portland ME 04103-5617 Ph: (207) 773-2828 |
| NPI Number | 1932454352 |
|---|---|
| Provider Enumeration Date | 07/23/2012 |
| Last Update Date | 10/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932454352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 1334 (Maine) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | 1334 (Maine) | Primary |
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