Provider Demographics
NPI:1356330195
Name:RYAN, ASHLEY SUZANNE (MS, CGC)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:SUZANNE
Last Name:RYAN
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5743 N 19TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-2603
Mailing Address - Country:US
Mailing Address - Phone:602-595-5901
Mailing Address - Fax:602-406-4363
Practice Address - Street 1:222 W THOMAS RD
Practice Address - Street 2:SUITE 304
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4419
Practice Address - Country:US
Practice Address - Phone:602-406-4386
Practice Address - Fax:602-406-4363
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS