Kelly Logan Ryan, PSYD is a
Psychologist - Clinical based in Naperville, Illinois. Kelly Logan Ryan is licensed to practice in Illinois (license number 071.008948) and her current practice location is
852 S West St, Naperville, Illinois. She can be reached at her office (for appointments etc.) via phone at
(630) 305-5122.
NPI number for Kelly Logan Ryan is 1962655910 and her current mailing address is 1001 Rohlwing Rd, Elk Grove Village, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962655910.
Healthcare Provider's Profile
Full Name | Kelly Logan Ryan |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 852 S West St, Naperville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962655910
- Provider Enumeration Date: 11/03/2008
- Last Update Date: 04/07/2021
Medical Identifiers
Medical identifiers for Kelly Logan Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962655910 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 071.008948 (Illinois) | 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. Kelly Logan Ryan 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 |
Kelly Logan Ryan, PSYD 1001 Rohlwing Rd, Elk Grove Village, IL 60007-3217 Ph: (847) 524-8800 | Kelly Logan Ryan, PSYD 852 S West St, Naperville, IL 60540-6400 Ph: (630) 305-5122 |
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