Stanley, Ryan

Stanley, Ryan is an individual health care provider with primary practice located at 585 Lincoln St , Worcester MA 01605-1906. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Stanley, Ryan can be contacted via phone (508) 831-0045.

Contact Information

Primary practice address
585 Lincoln St Worcester MA 01605-1906
Phone: (508) 831-0045
Fax: (508) 753-5051
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1588003263
LBN Legal business name Stanley, Ryan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2013
Last updated Jun 17th, 2013 - about 13 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 1588003263 NPPES
Massachusetts MEDICAID 1308785
Massachusetts Other 22220002001
Massachusetts Other M18684
Massachusetts MEDICAID 1306461

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