NPI 1487148904
Holly D Ryan, LICSW
Practice location
- Address
- 56 Old Farm Rd, Stowe, VT 05672-4434
- Phone
- (802) 760-7497
- Mailing address
- 40 Tamarack Ln, Waterbury Center, VT 05677-4415
Registered specialties
Clinical Social Worker
Primary
Registry record
- NPI
- 1487148904
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Jun 2018
- Record last updated
- 18 Jun 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.