O'Doherty, Eileen Ryan

O'Doherty, Eileen Ryan is an sole proprietor health care provider with primary practice located at 20 Forsythe Ave , South Yarmouth MA 02664-1814. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. O'Doherty, Eileen Ryan can be contacted via phone (508) 398-5155.

Contact Information

Primary practice address
20 Forsythe Ave South Yarmouth MA 02664-1814
Phone: (508) 398-5155
Fax: (508) 398-3478
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1598988586
LBN Legal business name O'Doherty, Eileen Ryan
Credentials M. A., LADC I
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated Jul 8th, 2007 - about 18 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 1598988586 NPPES
Massachusetts Other 1383 LADC I

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