Provider Demographics
NPI:1841029485
Name:CHANATRY, RYAN M (CT)
Entity type:Individual
Prefix:MR
First Name:RYAN
Middle Name:M
Last Name:CHANATRY
Suffix:
Gender:M
Credentials:CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7901 SCHATZ POINTE DR STE B
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-3824
Mailing Address - Country:US
Mailing Address - Phone:937-689-5994
Mailing Address - Fax:
Practice Address - Street 1:7901 SCHATZ POINTE DR STE B
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-3824
Practice Address - Country:US
Practice Address - Phone:937-689-5994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-31
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2507360101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional