NPI 1427268952 · live from the CMS NPI Registry
Mary T. Ryan, M.S., R.D.
Social Worker, Clinical in Jackson, WY. National Provider Identifier 1427268952, active.
NPI record
| NPI | 1427268952 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 535 Cache Creek Dr, Jackson, WY 83001 |
| Practice phone | 307-690-5785 |
| Mailing address | Po Box 1076, Jackson, WY 83001 |
| Enumerated | May 23, 2007 |
| Last updated | March 6, 2019 |
| Sole proprietor | Yes |
| Other names | Mary Howley |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 800 (WY) |
| Dietitian, Registered | 133V00000X | 886773 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.