| Elizabeth Ryan, Lcsw, P.c. | |
|
6292 Turret Dr Colorado Springs CO 80918-3219 | |
| (719) 659-5194 | |
| Not Available |
| Full Name | Elizabeth Ryan, Lcsw, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6292 Turret Dr, Colorado Springs, Colorado |
| Authorized Official Name and Position | Elizabeth B Ryan (OWNER) |
| Authorized Official Contact | 7196595194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Ryan, Lcsw, P.c. 6292 Turret Dr Colorado Springs CO 80918-3219 Ph: (719) 659-5194 | Elizabeth Ryan, Lcsw, P.c. 6292 Turret Dr Colorado Springs CO 80918-3219 Ph: (719) 659-5194 |
| NPI Number | 1386370831 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 08/15/2022 |
| Certification Date | 08/15/2022 |
| Medicare PECOS PAC ID | 6002291762 |
|---|---|
| Medicare Enrollment ID | O20220915002639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386370831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Elizabeth B Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518069103 PECOS PAC ID: 6406944628 Enrollment ID: I20071221000112 |
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