Provider Demographics
NPI:1841997426
Name:DELLAPENNA, RYAN
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:DELLAPENNA
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 1:915 BENNETT WAY
Mailing Address - Street 2:
Mailing Address - City:NEWMARKET
Mailing Address - State:NH
Mailing Address - Zip Code:03857-2355
Mailing Address - Country:US
Mailing Address - Phone:603-706-0548
Mailing Address - Fax:
Practice Address - Street 1:660 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-3550
Practice Address - Country:US
Practice Address - Phone:603-634-4446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical