Provider Demographics
NPI:1982478202
Name:GILLUND, RYAN ELIZABETH
Entity type:Individual
Prefix:MRS
First Name:RYAN
Middle Name:ELIZABETH
Last Name:GILLUND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 W CENTER ST UNIT 536
Mailing Address - Street 2:
Mailing Address - City:ROGERSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65742-5807
Mailing Address - Country:US
Mailing Address - Phone:660-351-6685
Mailing Address - Fax:
Practice Address - Street 1:1600 W JACKSON ST
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:MO
Practice Address - Zip Code:65721-9156
Practice Address - Country:US
Practice Address - Phone:417-582-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-07
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025023055235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist