Provider Demographics
NPI:1841735347
Name:SUMMERFIELD, RYAN L (LHIS)
Entity Type:Individual
Prefix:MR
First Name:RYAN
Middle Name:L
Last Name:SUMMERFIELD
Suffix:
Gender:M
Credentials:LHIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 S KANAWHA ST
Mailing Address - Street 2:
Mailing Address - City:BUCKHANNON
Mailing Address - State:WV
Mailing Address - Zip Code:26201-2604
Mailing Address - Country:US
Mailing Address - Phone:304-704-9456
Mailing Address - Fax:
Practice Address - Street 1:106 S KANAWHA ST
Practice Address - Street 2:
Practice Address - City:BUCKHANNON
Practice Address - State:WV
Practice Address - Zip Code:26201-2604
Practice Address - Country:US
Practice Address - Phone:304-704-9456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-20
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV237700000X
WV963237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist