Provider Demographics
NPI:1467731745
Name:MANY, RYAN LYNDSEY PURPLE (MA)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:LYNDSEY PURPLE
Last Name:MANY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 PORRAZZO RD
Mailing Address - Street 2:
Mailing Address - City:HULL
Mailing Address - State:MA
Mailing Address - Zip Code:02045-2919
Mailing Address - Country:US
Mailing Address - Phone:781-556-5172
Mailing Address - Fax:781-749-3873
Practice Address - Street 1:549 COLUMBIAN ST
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1138
Practice Address - Country:US
Practice Address - Phone:781-556-5172
Practice Address - Fax:781-749-3873
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health