Ryan, Brenda

Ryan, Brenda is an individual health care provider with primary practice located at 195 Kane St , Gate City VA 24251-3408. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Ryan, Brenda can be contacted via phone (276) 386-2454.

Contact Information

Primary practice address
195 Kane St Gate City VA 24251-3408
Fax: (276) 386-1446
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2202002211 Virginia

Profile Details

NPI number 1629067426
LBN Legal business name Ryan, Brenda
Credentials SPEECH LANGUAGE PATH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
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 1629067426 NPPES
Virginia MEDICAID 4979681
Virginia Other 283587

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