Stanley, Caleb Ryan

Stanley, Caleb Ryan is an individual health care provider with primary practice located at 4114 N Water Tower Pl Ste C , Mount Vernon IL 62864-6548. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Stanley, Caleb Ryan can be contacted via phone (662) 882-8116.

Contact Information

Primary practice address
4114 N Water Tower Pl Ste C Mount Vernon IL 62864-6548
Phone: (662) 882-8116
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-17-24990 Illinois

Profile Details

NPI number 1336625508
LBN Legal business name Stanley, Caleb Ryan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2018
Last updated Jul 11th, 2018 - about 7 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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