Provider Demographics
NPI:1740715598
Name:HAYS, RYAN
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:HAYS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 NW 178TH ST
Mailing Address - Street 2:APT. 4C
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-4293
Mailing Address - Country:US
Mailing Address - Phone:405-923-7666
Mailing Address - Fax:
Practice Address - Street 1:620 NW 178 ST.
Practice Address - Street 2:APT. 4C
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012
Practice Address - Country:US
Practice Address - Phone:405-923-7666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-28
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor