Ryan, Jessica Lee
Ryan, Jessica Lee is an sole proprietor health care provider with primary practice located at 10313 Aboite Center Rd , Fort Wayne IN 46804-5435. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Ryan, Jessica Lee can be contacted via phone (260) 705-1067.Contact Information
Primary practice address
10313 Aboite Center Rd
Fort Wayne IN 46804-5435
Phone: (260) 705-1067
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 33006464A | |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1144568668 |
|---|---|
| LBN Legal business name | Ryan, Jessica Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2013 |
| Last updated | Dec 9th, 2015 - about 11 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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