Provider Demographics
NPI:1245355858
Name:SCHWINDT, RYAN (MA)
Entity type:Individual
Prefix:MR
First Name:RYAN
Middle Name:
Last Name:SCHWINDT
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8707 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-2734
Mailing Address - Country:US
Mailing Address - Phone:301-565-9405
Mailing Address - Fax:
Practice Address - Street 1:8609 2ND AVE STE 201B
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-6359
Practice Address - Country:US
Practice Address - Phone:202-487-9461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1501101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD367243OtherMHN PROVIDER NUMBER