Provider Demographics
NPI:1851054035
Name:SNEAD, RYAN DAVID (LPC)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:DAVID
Last Name:SNEAD
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10320 W WHITNALL EDGE CIR UNIT B
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-2840
Mailing Address - Country:US
Mailing Address - Phone:414-791-1997
Mailing Address - Fax:
Practice Address - Street 1:10320 W WHITNALL EDGE CIR UNIT B
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-2840
Practice Address - Country:US
Practice Address - Phone:414-791-1997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-14
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7675-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty