DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KIRSTEN ELISE RYAN, DT, LCPC

Active Sole Proprietor

MRS. KIRSTEN ELISE RYAN, DT, LCPC is a Developmental Therapist healthcare provider located in ROUND LAKE BEACH, Illinois. NPI 1942351184 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · ROUND LAKE BEACH, IL

Registration Details

NPI Number
1942351184
Provider Type
Individual
Gender
Female
NPI Issued
Jan 15, 2007 (19.435141254686 yrs)
Last Updated
Nov 11, 2010
Licenses
KR42150502P (IL)
180.007497 (IL)
Sole Proprietor
Yes

Practice Information

Address
215 S SPRINGSIDE DR
ROUND LAKE BEACH, IL, 600738139
Browse IL providers · Browse ZIP 60073
Phone
8474779816
Fax
8477401749
Primary Specialty
Developmental Therapist
222Q00000X
Additional Specialty
Professional Counselor

Other Developmental Therapist Providers in ROUND LAKE BEACH, IL

Name Credential NPI
MRS. NANCY ANNE VARNEY 1467291245
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.