Ryan, Mary Whitney
Ryan, Mary Whitney is an sole proprietor health care provider with primary practice located at 330 E Lakeside Ave Ste B001 , Coeur D Alene ID 83814-2834. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Ryan, Mary Whitney can be contacted via phone (208) 243-8080.Contact Information
Primary practice address
330 E Lakeside Ave Ste B001
Coeur D Alene ID 83814-2834
Phone: (208) 243-8080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY8457 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY60440889 | Washington |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PY60440889 | Washington |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY60440889 | Washington |
Profile Details
| NPI number | 1932418183 |
|---|---|
| LBN Legal business name | Ryan, Mary Whitney |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2010 |
| Last updated | Mar 2nd, 2024 - about 2 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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