Ayala, Ivan

Ayala, Ivan is an sole proprietor health care provider with primary practice located at 2450 Riverside Ave Ummc F196, Minneapolis MN 55454-1450. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Ayala, Ivan can be contacted via phone (952) 892-9536.

Contact Information

Primary practice address
2450 Riverside Ave Ummc F196 Minneapolis MN 55454-1450
Phone: (952) 892-9536
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 23335 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2837 Minnesota

Profile Details

NPI number 1629476973
LBN Legal business name Ayala, Ivan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2014
Last updated Apr 7th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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