Mastrorillo-Ryan, Debra Lyn

Mastrorillo-Ryan, Debra Lyn is an individual health care provider with primary practice located at 14 Fordham Rd , Allston MA 02134-3006. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mastrorillo-Ryan, Debra Lyn can be contacted via phone (617) 782-6460.

Contact Information

Primary practice address
14 Fordham Rd Allston MA 02134-3006
Phone: (617) 782-6460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1710100821
LBN Legal business name Mastrorillo-Ryan, Debra Lyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jul 9th, 2007 - about 17 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 1710100821 NPPES
Massachusetts Other 782170 NETWORK HEALTH
Massachusetts Other 1319744 NETWORK HEALTH
Massachusetts MEDICAID 1319744 NETWORK HEALTH
Massachusetts Other 1001510 NETWORK HEALTH
Massachusetts Other 000000008411 NETWORK HEALTH

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