Provider Demographics
NPI:1033605142
Name:RYAN, BRITTANNY (LCPC)
Entity Type:Individual
Prefix:MISS
First Name:BRITTANNY
Middle Name:
Last Name:RYAN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22395 HOOD LN
Mailing Address - Street 2:
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-3551
Mailing Address - Country:US
Mailing Address - Phone:240-925-1762
Mailing Address - Fax:
Practice Address - Street 1:22776 THREE NOTCH RD STE 102
Practice Address - Street 2:
Practice Address - City:LEXINGTON PARK
Practice Address - State:MD
Practice Address - Zip Code:20653-3369
Practice Address - Country:US
Practice Address - Phone:301-866-6333
Practice Address - Fax:240-718-1906
Is Sole Proprietor?:No
Enumeration Date:2018-07-02
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
MDLGP8783101YP2500X
MDLC11663101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional