Breshears, Ryan Edward

Breshears, Ryan Edward is an individual health care provider with primary practice located at 55 Whitcher St Ne Suite 420, Marietta GA 30060-1155. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Breshears, Ryan Edward can be contacted via phone (770) 514-6760.

Contact Information

Primary practice address
55 Whitcher St Ne Suite 420 Marietta GA 30060-1155
Phone: (770) 514-6760
Fax: (770) 794-8034
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1922273358
LBN Legal business name Breshears, Ryan Edward
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2008
Last updated Oct 31st, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922273358 NPPES
Georgia Other PSY003306 GA LICENSE #

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