Provider Demographics
NPI:1093016909
Name:RYAN-PERRY, SIOBHAN (LCSW)
Entity Type:Individual
Prefix:
First Name:SIOBHAN
Middle Name:
Last Name:RYAN-PERRY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 671205
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-1205
Mailing Address - Country:US
Mailing Address - Phone:866-890-6390
Mailing Address - Fax:469-735-4640
Practice Address - Street 1:NUNN DRIVE
Practice Address - Street 2:UNIVERSITY CENTER #440
Practice Address - City:HIGHLAND HEIGHTS
Practice Address - State:KY
Practice Address - Zip Code:41099
Practice Address - Country:US
Practice Address - Phone:859-572-5650
Practice Address - Fax:859-572-5615
Is Sole Proprietor?:No
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical