Provider Demographics
NPI:1871343699
Name:MURRAY, RYAN (MS)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:MURRAY
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 IOWA LN STE 104
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4493
Mailing Address - Country:US
Mailing Address - Phone:920-358-4534
Mailing Address - Fax:
Practice Address - Street 1:110 IOWA LN STE 104
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4493
Practice Address - Country:US
Practice Address - Phone:920-358-4534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA19671101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health