| Ryan C Staley, Llc | |
|
1408 Poyntz Ave Manhattan KS 66502-4145 | |
| (785) 776-4105 | |
| Not Available |
| Full Name | Ryan C Staley, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1408 Poyntz Ave, Manhattan, Kansas |
| Authorized Official Name and Position | Ryan Christopher Staley (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7857662947 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan C Staley, Llc 907 Osage St Manhattan KS 66502-5436 Ph: () - | Ryan C Staley, Llc 1408 Poyntz Ave Manhattan KS 66502-4145 Ph: (785) 776-4105 |
| NPI Number | 1972932168 |
|---|---|
| Provider Enumeration Date | 11/07/2013 |
| Last Update Date | 11/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972932168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2172 (Kansas) | Primary |
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