Tara Ryan Lcsw Pllc

NPI #1144685876 in Boise, Idaho

Provider Information

NPI Number: 1144685876
Entity Type: Organization
Organization Name: Tara Ryan Lcsw Pllc
Primary Specialty: Community/Behavioral Health
Enumeration Date: Dec 22, 2015
Last Updated: Dec 22, 2015

Practice Location

Address: 760 E WARM SPRINGS AVE
Address 2: SUITE F
City: Boise
State: Idaho
ZIP Code: 83712-6476
Phone: (208) 982-6300

Authorized Official

Name: TARA RYAN
Title: LCSW
Phone: (208) 982-6300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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