Provider Demographics
NPI:1043418718
Name:RYAN, BARBARA (PHD, LMHC)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:RYAN
Suffix:
Gender:F
Credentials:PHD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11016 NE 2ND PL
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-5830
Mailing Address - Country:US
Mailing Address - Phone:425-458-4770
Mailing Address - Fax:
Practice Address - Street 1:11016 NE 2ND PL
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-5830
Practice Address - Country:US
Practice Address - Phone:425-458-4770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00003532101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health