Provider Demographics
NPI:1093111320
Name:GAY, RYANN ELIZABETH
Entity Type:Individual
Prefix:
First Name:RYANN
Middle Name:ELIZABETH
Last Name:GAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4417 E 135TH WAY
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80241-1601
Mailing Address - Country:US
Mailing Address - Phone:720-938-0840
Mailing Address - Fax:
Practice Address - Street 1:4417 E 135TH WAY
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80241-1601
Practice Address - Country:US
Practice Address - Phone:720-938-0840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-13
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist