Provider Demographics
NPI:1760671507
Name:DAILY, RYAN W (MA)
Entity Type:Individual
Prefix:MR
First Name:RYAN
Middle Name:W
Last Name:DAILY
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:225 WATER ST STE B236
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-4054
Mailing Address - Country:US
Mailing Address - Phone:508-747-6302
Mailing Address - Fax:508-747-6304
Practice Address - Street 1:225 WATER ST STE B236
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4054
Practice Address - Country:US
Practice Address - Phone:508-747-6302
Practice Address - Fax:508-747-6304
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-17
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health