Ryall, Kerry

Ryall, Kerry is an individual health care provider with primary practice located at 2003 Se Walton Blvd , Bentonville AR 72712-3725. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Ryall, Kerry can be contacted via phone (479) 750-2020.

Contact Information

Primary practice address
2003 Se Walton Blvd Bentonville AR 72712-3725
Phone: (479) 750-2020
Fax: (479) 750-4843
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0111361 New Mexico
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 61118 California
Behavioral Health & Social Service Providers / Professional 101YP2500X P1706315 Arkansas

Profile Details

NPI number 1851528707
LBN Legal business name Ryall, Kerry
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2009
Last updated Mar 17th, 2018 - about 6 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 1851528707 NPPES
New Mexico MEDICAID M1925

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