Emma Ryan Fetterman, is a
Psychologist - School based in Millbury, Ohio. Emma Ryan Fetterman is licensed to practice in Ohio (license number LSP.03155) and her current practice location is
28150 Lemoyne Rd, Millbury, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 661-6520.
NPI number for Emma Ryan Fetterman is 1760342711 and her current mailing address is 28150 Lemoyne Rd, Millbury, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760342711.
Healthcare Provider's Profile
| Full Name | Emma Ryan Fetterman |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - School |
|---|
| Location | 28150 Lemoyne Rd, Millbury, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760342711
- Provider Enumeration Date: 11/13/2025
- Last Update Date: 11/13/2025
Medical Identifiers
Medical identifiers for Emma Ryan Fetterman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1760342711 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TS0200X | Psychologist - School | LSP.03155 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emma Ryan Fetterman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Emma Ryan Fetterman, 28150 Lemoyne Rd, Millbury, OH 43447-9747 Ph: () - | Emma Ryan Fetterman, 28150 Lemoyne Rd, Millbury, OH 43447-9747 Ph: (419) 661-6520 |
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