Provider Demographics
NPI:1871728808
Name:RYAN, MARGARET MARY (SLP)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:MARY
Last Name:RYAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 HAYDENVILLE RD
Mailing Address - Street 2:P.O. BOX 298
Mailing Address - City:LEEDS
Mailing Address - State:MA
Mailing Address - Zip Code:01053-9767
Mailing Address - Country:US
Mailing Address - Phone:413-584-2466
Mailing Address - Fax:
Practice Address - Street 1:150 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2232
Practice Address - Country:US
Practice Address - Phone:413-256-3686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3788235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist