Search › Idaho › 103T00000X
Mary Ryan, PHD
NPI 1932418183 · on the registry since 2010 · sole proprietor
Practice
- Address
- 330 E Lakeside Ave Ste B001
Coeur D Alene, ID 83814 - Phone
- (208) 243-8080
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TC0700X
103TC0700X
103TC2200X - Licence states on file
- FL, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho