Provider Demographics
NPI:1700938164
Name:RYAN, MARGUERITE JEAN (LMFT, CADAC II)
Entity Type:Individual
Prefix:MRS
First Name:MARGUERITE
Middle Name:JEAN
Last Name:RYAN
Suffix:
Gender:F
Credentials:LMFT, CADAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 ADAMS ST
Mailing Address - Street 2:APT. 2
Mailing Address - City:NORTH CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-1746
Mailing Address - Country:US
Mailing Address - Phone:978-251-1160
Mailing Address - Fax:978-251-8453
Practice Address - Street 1:10 ADAMS ST
Practice Address - Street 2:APT. 2
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-1746
Practice Address - Country:US
Practice Address - Phone:978-251-1160
Practice Address - Fax:978-251-8453
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA888101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health