Smith, Ryan A

Smith, Ryan A is an individual health care provider with primary practice located at 4689 W 20Th St Unit E , Greeley CO 80634-3218. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Smith, Ryan A can be contacted via phone (970) 381-2164.

Contact Information

Primary practice address
4689 W 20Th St Unit E Greeley CO 80634-3218
Phone: (970) 381-2164
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC.0016926 Colorado

Profile Details

NPI number 1912374844
LBN Legal business name Smith, Ryan A
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2015
Last updated Apr 5th, 2023 - about 3 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 1912374844 NPPES
Colorado MEDICAID 9000196765

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