Provider Demographics
NPI:1992945646
Name:RYAN, MARGARET D (LSW)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:D
Last Name:RYAN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 MOOSIC ST
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18505-4550
Mailing Address - Country:US
Mailing Address - Phone:570-961-3361
Mailing Address - Fax:570-836-7609
Practice Address - Street 1:1021 MOOSIC ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18505-4550
Practice Address - Country:US
Practice Address - Phone:570-961-3361
Practice Address - Fax:570-836-7609
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW004877E104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker