Provider Demographics
NPI:1982818456
Name:DURNEY, RYAN M (LICSW)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:M
Last Name:DURNEY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:RYAN
Other - Middle Name:
Other - Last Name:HIRBOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:45 HAZEL ST
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-4206
Mailing Address - Country:US
Mailing Address - Phone:978-590-2192
Mailing Address - Fax:
Practice Address - Street 1:565 TURNPIKE ST
Practice Address - Street 2:SUITE 84
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-5922
Practice Address - Country:US
Practice Address - Phone:978-590-2192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical