Ryan, Timothy James

Ryan, Timothy James is an individual health care provider with primary practice located at 64 Industrial Park Rd Integrated Counseling Centers, Inc., Plymouth MA 02360-4829. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Ryan, Timothy James can be contacted via phone (508) 830-9562.

Contact Information

Primary practice address
64 Industrial Park Rd Integrated Counseling Centers, Inc. Plymouth MA 02360-4829
Phone: (508) 830-9562
Fax: (508) 830-6735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 105196 Massachusetts

Profile Details

NPI number 1528042850
LBN Legal business name Ryan, Timothy James
Credentials LICSW, BCD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528042850 NPPES
Massachusetts Other P04609 BLUECROSS BLUESHIELD

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