| Ryan Marriage And Family Relationship Therapist, Llc | |
|
18205 N 51st Ave Ste 136 Glendale AZ 85308-1492 | |
| (623) 399-2267 | |
| (866) 340-1836 |
| Full Name | Ryan Marriage And Family Relationship Therapist, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 18205 N 51st Ave Ste 136, Glendale, Arizona |
| Authorized Official Name and Position | Patti Marie Ryan (THERAPIST/OWNER) |
| Authorized Official Contact | 6233992267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Marriage And Family Relationship Therapist, Llc 18205 N 51st Ave Ste 136 Glendale AZ 85308-1492 Ph: (623) 399-2267 | Ryan Marriage And Family Relationship Therapist, Llc 18205 N 51st Ave Ste 136 Glendale AZ 85308-1492 Ph: (623) 399-2267 |
| NPI Number | 1619743754 |
|---|---|
| Provider Enumeration Date | 11/29/2023 |
| Last Update Date | 11/29/2023 |
| Certification Date | 11/29/2023 |
| Medicare PECOS PAC ID | 2769834688 |
|---|---|
| Medicare Enrollment ID | O20240116004321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619743754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Patti Marie Ryan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962574251 PECOS PAC ID: 3678925591 Enrollment ID: I20240116004353 |
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