National Provider Identifier
John Thomas Ryan, LCSW-R
John Thomas Ryan, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Canandaigua, NY and a listed phone number of (585) 919-0014.
Profile Overview
- NPI
- 1255470670
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- February 05, 2007
- Last Updated
- July 08, 2007
Practice Location
- 23 Sly St
- Canandaigua, NY 14424-1809
Phone: (585) 919-0014
Mailing Address
- 7270 Montgomery Ln
- Victor, NY 14564-9780
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1255470670
- Entity Type
- Individual
- Last Name
- Ryan
- First Name
- John
- Middle Name
- Thomas
- Name Prefix
- Mr.
- Credential
- LCSW-R
- Mailing Street Address
- 7270 Montgomery Ln
- Mailing City
- Victor
- Mailing State
- NY
- Mailing ZIP Code
- 14564-9780
- Mailing Country
- US
- Mailing Phone
- (585) 924-5189
- Practice Street Address
- 23 Sly St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1809
- Practice Country
- US
- Practice Phone
- (585) 919-0014
- Enumeration Date
- February 05, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)