| Amy Ryan Counseling Llc | |
|
13 Main St # 1 Bradley Beach NJ 07720-1027 | |
| (732) 795-0918 | |
| Not Available |
| Full Name | Amy Ryan Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 13 Main St # 1, Bradley Beach, New Jersey |
| Authorized Official Name and Position | Amy Ryan (OWNER) |
| Authorized Official Contact | 7327950918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Ryan Counseling Llc 13 Polo Club Dr Tinton Falls NJ 07724-3823 Ph: () - | Amy Ryan Counseling Llc 13 Main St # 1 Bradley Beach NJ 07720-1027 Ph: (732) 795-0918 |
| NPI Number | 1689447039 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 11/06/2023 |
| Certification Date | 11/06/2023 |
| Medicare PECOS PAC ID | 9436507613 |
|---|---|
| Medicare Enrollment ID | O20231128003939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689447039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amy Sue Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255700274 PECOS PAC ID: 6204138118 Enrollment ID: I20231129000011 |
Jane S Dougherty Lpc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13 Main St, Bradley Beach, NJ 07720 Phone: 732-800-1557 |