Ryswyk, Glen W

Ryswyk, Glen W is an individual health care provider with primary practice located at 5002 Sw Lee Blvd , Lawton OK 73505-8320. He recently has 2 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 / Mental Health is his primary health care specialty. Ryswyk, Glen W can be contacted via phone (580) 531-4512.

Contact Information

Primary practice address
5002 Sw Lee Blvd Lawton OK 73505-8320
Phone: (580) 531-4512
Fax: (580) 531-4519
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 577 Oklahoma
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 717 Oklahoma

Profile Details

NPI number 1598778920
LBN Legal business name Ryswyk, Glen W
Credentials MDIV LPC LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Sep 14th, 2011 - about 14 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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