Potempa, Ryan Gerald
Potempa, Ryan Gerald is an individual health care provider with primary practice located at 7617 N Villa Wood Ln , Peoria IL 61614-1588. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Potempa, Ryan Gerald can be contacted via phone (309) 693-8200.Contact Information
Primary practice address
7617 N Villa Wood Ln
Peoria IL 61614-1588
Phone: (309) 693-8200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 166.001366 | Illinois |
Profile Details
| NPI number | 1114441128 |
|---|---|
| LBN Legal business name | Potempa, Ryan Gerald |
| Credentials | MS, LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2017 |
| Last updated | Mar 7th, 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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